Individual
MARY DIANE KEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4794 HIGHWAY 162, SUITE A, HOLLYWOOD, SC 29449-5740
(843) 769-6522
(843) 769-5728
Mailing address
4794 HIGHWAY 162, SUITE A, HOLLYWOOD, SC 29449-5740
(843) 769-6522
(843) 769-5728
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7890
SC
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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