Individual
MARK VANOURNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
161 BLACK MOUNTAIN DR, FORT MILL, SC 29708-6505
(319) 360-7007
Mailing address
161 BLACK MOUNTAIN DR, FORT MILL, SC 29708-6505
(319) 360-7007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12817
SC
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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