Individual
DR. HALLIE MCNAIR DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
120 NORTH LONGSTREET ST, KINGSTREE, SC 29556
(843) 354-5565
Mailing address
120 NORTH LONGSTREET ST, KINGSTREE, SC 29556
(843) 354-5565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13374
SC
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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