Individual
JOANNE BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9998 DORCHESTER RD, SUMMERVILLE, SC 29485-8529
(843) 851-7716
(843) 851-8633
Mailing address
9998 DORCHESTER RD, SUMMERVILLE, SC 29485-8529
(843) 851-7716
(843) 851-8633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10495
SC
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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