Individual
MRS. MARIE LEWIS SHUFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1716 PLEASANT RD, FORT MILL, SC 29708-7815
(803) 802-7644
Mailing address
1719 CAVENDISH CT, CHARLOTTE, NC 28211-3945
(704) 364-9815
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10103
NC
183500000X
Pharmacist
11696
SC
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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