Individual
MIRANDA BURGESS BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6414 STATE PARK RD, TRAVELERS REST, SC 29690-1634
(864) 834-7936
Mailing address
324 SADDLEHORN LN, EASLEY, SC 29642-3060
(864) 380-9536
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37315
SC
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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