Individual
DR. STACY MARIE PRUTTING
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
BS,PHARMD, BCPS, CDE
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0001
(843) 792-2300
Mailing address
1 HALSEY ST, CHARLESTON, SC 29401-1144
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
8844
SC
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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