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Individual

CRISTA SCHULTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
25 COURTENAY DR, M104, CHARLESTON, SC 29425-8911
(843) 876-5585
Mailing address
25 COURTENAY DR, M104, CHARLESTON, SC 29425-8911
(843) 876-5585

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35588
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35588
STATE LICENSE
SC
Enumeration date
10/14/2014
Last updated
10/14/2014
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