Individual
KIANTA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
315 W BUTLER RD, MAULDIN, SC 29662-2531
(864) 234-1422
Mailing address
2308 ARBOR KEATS DR, SIMPSONVILLE, SC 29680-7520
(803) 837-1757
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35575
SC
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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