Individual
MADELYN SUDDRETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 RUTLEDGE AVE RM 106, CHARLESTON, SC 29425-8903
(843) 876-0199
Mailing address
1823 TELFAIR WAY, CHARLESTON, SC 29412-2375
(828) 244-0133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44108
SC
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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