Individual
TARA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 OLD TOWNE RD, CHARLESTON, SC 29407-6062
(843) 766-5593
Mailing address
3302 SWEET PL, CHARLESTON, SC 29492-2845
(304) 266-1332
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43750
SC
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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