Individual
MRS. CARYN NIX PETRATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R. PH.
Contact information
Practice address
101 W MAIN ST, EASLEY, SC 29640-2038
(864) 859-4015
(864) 859-3396
Mailing address
101 W MAIN ST, EASLEY, SC 29640-2038
(864) 859-4015
(864) 859-3396
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6805
SC
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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