Individual
MOYOSORE O AKINRIMISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
158 HIGHWAY 274, LAKE WYLIE, SC 29710-6045
(803) 831-2605
(803) 831-9717
Mailing address
158 HIGHWAY 274, LAKE WYLIE, SC 29710-6045
(803) 831-2605
(803) 831-9717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12520
SC
183500000X
Pharmacist
18683
NC
Other
Enumeration date
09/02/2012
Last updated
09/02/2012
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