Individual
MRS. SUSAN ELIZABETH CORLEY WEEMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1150 SEABOARD ST, MYRTLE BEACH, SC 29577-6517
(843) 626-5034
Mailing address
616 PISTOIA LN, MYRTLE BEACH, SC 29579-8418
(803) 309-8190
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9789
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9789
STATE LICENSE NO.
SC
Enumeration date
08/27/2012
Last updated
11/22/2020
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