Individual
MICHAEL RICHARD MISSROON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
404 OLD TROLLEY RD, SUMMERVILLE, SC 29485-5661
(843) 871-6944
(843) 851-9548
Mailing address
404 OLD TROLLEY RD, SUMMERVILLE, SC 29485-5661
(843) 871-6944
(843) 851-9548
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4618
SC
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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