Individual
KATIE FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 10TH AVE, CONWAY, SC 29526-4112
(843) 248-5015
Mailing address
150 SHERWOOD DR, CONWAY, SC 29526-3165
(843) 602-5283
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13767
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13767
BOARD OF PHARMACY
SC
Enumeration date
05/11/2018
Last updated
10/08/2019
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