Individual
MICAH GOFORTH DREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2820 AUGUSTA ROAD, WARRENVILLE, SC 29851
(803) 593-3411
Mailing address
57 MURRAH ROAD EXT, NORTH AUGUSTA, SC 29860-9304
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44007
SC
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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