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Individual

DYLAN MITCHELL FURTICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
518 E GREER ST, HONEA PATH, SC 29654-1823
(864) 369-0707
Mailing address
404 N ADAIR ST, CLINTON, SC 29325-2408
(803) 300-4294

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36832
SC

Other

Enumeration date
09/26/2016
Last updated
09/26/2016
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