Individual
LEIF D PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
135 RUTLEDGE AVE, CHARLESTON, SC 29425
(843) 876-0259
Mailing address
135 RUTLEDGE AVE, CHARLESTON, SC 29425
(843) 876-0259
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8110
SC
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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