Individual
PHILLIP MOZINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
119 W BOYCE ST, MANNING, SC 29102-3002
(803) 435-8804
Mailing address
1418 HOBART DR, FLORENCE, SC 29501-6213
(843) 992-2654
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36727
SC
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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