Individual
DANA LENNOX TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
130 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 233-1534
(864) 233-7965
Mailing address
403 BRIGHT WATER LN, GREENVILLE, SC 29609-6007
(864) 370-3119
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6898
SC
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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