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Individual

KAILA LEE BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
109 BREAKERS DR UNIT 421, MYRTLE BEACH, SC 29579-4422
(828) 748-9738
Mailing address
109 BREAKERS DR UNIT 421, MYRTLE BEACH, SC 29579-4422
(828) 748-9738

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
38034
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105015446
SC
Enumeration date
01/10/2019
Last updated
01/10/2019
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