Individual
MISS MCKENZIE NICOLE COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4767 BROAD ST, LORIS, SC 29569-2425
(843) 716-1220
Mailing address
3976 DAISY RD, LORIS, SC 29569-6254
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36814
SC
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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