Individual
SHAKELIA FOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 FRANKFORT CT, EUTAWVILLE, SC 29048-9107
(803) 378-1739
Mailing address
212 FRANKFORT CT, EUTAWVILLE, SC 29048-9107
(803) 378-1739
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
183700000X
Pharmacy Technician
18057
SC
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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