Individual
ELSIE CICONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 WESTERN SQUARE, LAURENS, SC 29360-6664
(864) 365-6583
Mailing address
PO BOX 80223, SIMPSONVILLE, SC 29680-0004
(864) 365-6583
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
8250
TN
183500000X
Pharmacist
Primary
9589
SC
Other
Enumeration date
09/26/2013
Last updated
02/09/2015
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