Individual
RO-DERICK DONTE' MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7697 CHARLOTTE HWY, INDIAN LAND, SC 29707-9653
(803) 396-1525
Mailing address
7697 CHARLOTTE HWY, INDIAN LAND, SC 29707-9653
(803) 396-1525
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37240
SC
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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