Individual
EDDY MATTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
616 SOUTHGATE DR, CAMDEN, SC 29020-9278
(803) 272-2545
Mailing address
616 SOUTHGATE DR, CAMDEN, SC 29020-9278
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13089
SC
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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