Individual
ANNAHITA MOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
618 FAIRVIEW RD, SIMPSONVILLE, SC 29680-6707
(864) 962-1839
Mailing address
3340 SHIPLEY ST APT 5416, LADSON, SC 29456-4185
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37336
SC
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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