Individual
KRISTINE MARIE BROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
230 ALBEMARLE RD RM 109, CHARLESTON, SC 29407-7522
(843) 876-7074
Mailing address
230 ALBEMARLE RD RM 109, CHARLESTON, SC 29407-7522
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
42619
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42619
SOUTH CAROLINA BOARD OF PHARMACY
SC
Enumeration date
09/02/2020
Last updated
09/02/2020
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