Individual
MR. KEVIN THOMAS DEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
555 ROBERTSON BLVD, WALTERBORO, SC 29488-2787
(843) 549-1546
(843) 549-9616
Mailing address
555 ROBERTSON BLVD, WALTERBORO, SC 29488-2787
(843) 549-1546
(843) 549-9616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
022579
MI
183500000X
Pharmacist
Primary
SC8096
SC
Other
Enumeration date
08/26/2012
Last updated
08/26/2012
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