Individual
SANDRA ANN COGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
7338 BROAD RIVER RD, IRMO, SC 29063-9639
(803) 749-8110
Mailing address
7338 BROAD RIVER RD, IRMO, SC 29063-9639
(803) 749-8110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8821
SC
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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