Individual
DANIELLE EDWARDS GENAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1790 E MAIN ST, SPARTANBURG, SC 29307-2231
(864) 583-2196
Mailing address
1790 E MAIN ST, SPARTANBURG, SC 29307-2231
(864) 583-2196
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42188
SC
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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