Individual
MAGEN CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
5 MEDICAL PARK DR ATTN:PHARMACY DEPT, COLUMBIA, SC 29203
(803) 434-2538
Mailing address
5 MEDICAL PARK DR ATTN:PHARMACY DEPT, COLUMBIA, SC 29203
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26021
NC
183500000X
Pharmacist
Primary
36617
SC
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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