Individual
MARK WITHROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2566 ASHLEY RIVER RD, CHARLESTON, SC 29414-4605
(843) 769-6560
(843) 852-7870
Mailing address
3213 HAGERTY DR, CHARLESTON, SC 29414-7134
(843) 571-7485
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6205
SC
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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