Individual
EMILY ADDICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 N MAIN ST, SUMMERVILLE, SC 29483-6417
(843) 871-0310
Mailing address
301 N MAIN ST, SUMMERVILLE, SC 29483-6417
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21700
MD
183500000X
Pharmacist
35406
SC
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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