Individual
TINA T DAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
310 E MARTINTOWN RD, NORTH AUGUSTA, SC 29841-4261
(803) 278-3673
Mailing address
310 E MARTINTOWN RD, NORTH AUGUSTA, SC 29841-4261
(803) 278-3673
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35587
SC
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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