Individual
TRACY TROUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
659 ELLIS ST, MOUNT PLEASANT, SC 29464-4455
(406) 698-3787
Mailing address
659 ELLIS ST, MOUNT PLEASANT, SC 29464-4455
(406) 698-3787
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
8103
SC
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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