Individual
AVERY SHAWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9104
(803) 767-3894
Mailing address
16 TRAPMAN ST APT A, CHARLESTON, SC 29401-2042
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37346
SC
Other
Enumeration date
08/27/2017
Last updated
08/27/2017
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