Individual
KYLE LENIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7400 RIVERS AVE, NORTH CHARLESTON, SC 29406-4644
(843) 572-9616
Mailing address
7400 RIVERS AVE, NORTH CHARLESTON, SC 29406-4644
(843) 572-9616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12908
SC
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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