Individual
BRIANNA EXLINE BEASENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
907 FOLLY RD, CHARLESTON, SC 29412-3919
(843) 795-5452
Mailing address
907 FOLLY RD, CHARLESTON, SC 29412-3919
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42026
SC
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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