Individual
MARY KOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
176 CROGHAN SPUR, STE 104A, CHARLESTON, SC 29407-7555
(843) 876-0254
Mailing address
PO BOX 602108, CHARLOTTE, NC 28260-2108
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12934
SC
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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