Individual
LAURA G KUQO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 N MAIN ST, SUMMERVILLE, SC 29483-7326
(843) 821-7537
Mailing address
1120 NORTH MAIN STREET, SUMMERVILLE, SC 29483
(843) 821-7537
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11936
SC
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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