Individual
DR. BRANDON LEE ROTHROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1303 38TH AVE N, MYRTLE BEACH, SC 29577-1315
(843) 448-4437
Mailing address
507 PEARL ST, CONWAY, SC 29527-5719
(843) 315-5618
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37310
SC
3336C0003X
Community/Retail Pharmacy
—
SC
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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