Individual
MARYLOU CROWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
2445 MAW BRIDGE RD, CENTRAL, SC 29630-8950
(864) 506-9023
Mailing address
2445 MAW BRIDGE RD, CENTRAL, SC 29630-8950
(864) 506-9023
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11423
SC
183500000X
Pharmacist
17937
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11423
PHARMACY LICENSE
SC
Enumeration date
03/18/2011
Last updated
03/18/2011
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