Individual
AUSTIN KEITH NEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 COMMERCE DR, MULLINS, SC 29574-6241
(843) 423-9411
Mailing address
305 COMMERCE DR, MULLINS, SC 29574-6241
(843) 423-9411
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
37116
SC
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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