Individual
BRENNA VERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 W MAIN ST, LEXINGTON, SC 29072-2453
(803) 358-3030
Mailing address
1216 W MAIN ST, LEXINGTON, SC 29072-2453
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12180
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71012D
—
SC
Enumeration date
10/03/2012
Last updated
10/03/2012
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