Individual
CYNTHIA MARIE GOTHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7467 SAINT ANDREWS RD STE 6, IRMO, SC 29063-2876
(803) 732-0426
(803) 732-2698
Mailing address
7467 SAINT ANDREWS RD STE 6, IRMO, SC 29063-2876
(803) 732-0426
(803) 732-2698
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9642
SC
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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