Individual
TIARA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
538 ROBERT M GRISSOM PKWY, MYRTLE BEACH, SC 29577-6579
(843) 957-0719
Mailing address
PO BOX 1700, MYRTLE BEACH, SC 29578-1700
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
30802
NC
183500000X
Pharmacist
Primary
43089
SC
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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