Individual
BRANDEE CUPP STUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
325 BROAD ST STE 100, SUMTER, SC 29150-4167
(803) 774-2126
(803) 774-2997
Mailing address
325 BROAD ST STE 100, SUMTER, SC 29150-4167
(803) 774-2126
(803) 774-2997
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14108
SC
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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