Individual
DR. ANTHONY DECLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
215 SAINT JAMES AVE, GOOSE CREEK, SC 29445-2938
(843) 714-6289
(843) 714-6290
Mailing address
215 SAINT JAMES AVE, GOOSE CREEK, SC 29445-2938
(843) 714-6289
(843) 714-6290
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36680
SC
Other
Enumeration date
07/23/2016
Last updated
07/23/2016
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