Individual
DEBORAH COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 MYRTLE RIDGE DR, CONWAY, SC 29526-2702
(843) 234-1420
(843) 234-1440
Mailing address
151 MYRTLE RIDGE DR, CONWAY, SC 29526-2702
(843) 455-5874
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10061
SC
183500000X
Pharmacist
12835
NC
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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