Individual
DR. KIMBERLY BREDA BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
301 N. MAIN STREET, SUMMERVILLE, SC 29485
(843) 871-0310
Mailing address
301 N. MAIN STREET, SUMMERVILLE, SC 29485
(843) 871-0310
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10604
SC
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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