Individual
KRISTEN LYNN GRAY-MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
7338 BROAD RIVER RD, IRMO, SC 29063-9639
(803) 749-8110
Mailing address
8 KINGS CREEK CT, IRMO, SC 29063-8218
(803) 361-9684
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03-2-21253
OH
183500000X
Pharmacist
Primary
9499
SC
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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