Individual
MICHELLE PRINCIPE-TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2470 MALL DR, NORTH CHARLESTON, SC 29406-6514
(843) 270-4721
Mailing address
759 NORFOLK DR, CHARLESTON, SC 29412-5044
(843) 795-5467
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8281
SC
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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