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Individual

MS. LORENA GONZALEZ-MARRERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
3642 SAVANNAH HWY STE 132, JOHNS ISLAND, SC 29455-7948
(843) 573-8780
Mailing address
2235 ASHLEY CROSSING DR APT 2K, CHARLESTON, SC 29414-5706
(843) 480-3940

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42891
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103355974
DRIVER'S LICENSE
SC
01
1381260
NABP
01
42891
LICENSE NUMBER
Enumeration date
04/30/2021
Last updated
04/30/2021
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