Individual
DR. SUZANNA GRACE VANDERVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
8571 RIVERS AVE, NORTH CHARLESTON, SC 29406-9208
(843) 863-9858
Mailing address
3513 E HIGGINS DR, MOUNT PLEASANT, SC 29466-6889
(843) 849-0078
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10344
SC
Other
Enumeration date
09/06/2009
Last updated
09/06/2009
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