Individual
CAROLINE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1062 10TH AVE, AYNOR, SC 29511
(843) 358-3340
Mailing address
PO BOX 54, AYNOR, SC 29511-0054
(843) 340-1954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42457
SC
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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