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Individual

TAYLOR GREENE PENNISI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
102 SUMMERWOOD WAY, AIKEN, SC 29803-7704
(803) 649-5300
(803) 649-0056
Mailing address
102 SUMMERWOOD WAY, AIKEN, SC 29803-7704
(803) 649-5300
(803) 649-0056

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
37166
SC
1835P2201X
Ambulatory Care Pharmacist
Primary
37166
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37166
PHARMACIST LICENSE
SC
Enumeration date
07/15/2017
Last updated
02/26/2025
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