Individual
REGINA MCQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
811 W DEKALB ST, CAMDEN, SC 29020-4260
(803) 432-4646
Mailing address
PO BOX 25635, COLUMBIA, SC 29224-5635
(843) 245-5574
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13145
SC
Other
Enumeration date
07/14/2010
Last updated
11/22/2010
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