Individual
RENISHA RABARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2742 DISNEY PL, INDIAN LAND, SC 29707-5957
(980) 228-6947
Mailing address
2742 DISNEY PL, INDIAN LAND, SC 29707-5957
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28440
NC
183500000X
Pharmacist
Primary
38060
SC
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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