Individual
DR. JOHN WALTER PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHAMD
Contact information
Practice address
101 N MAIN ST, PROSPERITY, SC 29127-0146
(803) 364-2310
Mailing address
PO BOX 446, PROSPERITY, SC 29127-0446
(803) 364-2310
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11392
SC
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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