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Individual

BRITTANI GODBOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1500 S IRBY ST, FLORENCE, SC 29505-3408
(843) 629-8427
Mailing address
291 OLD STAGE RD, LATTA, SC 29565-4776

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42686
SC

Other

Enumeration date
09/21/2020
Last updated
09/21/2020
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