Individual
JUDITH FOFUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
207 W BUTLER RD, MAULDIN, SC 29662-2536
(864) 297-3844
(864) 234-9755
Mailing address
207 W BUTLER RD, MAULDIN, SC 29662-2536
(864) 297-3844
(864) 234-9755
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8432
SC
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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