Individual
RACE LAND JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 W BUTLER RD, MAULDIN, SC 29662-2531
(727) 608-8794
Mailing address
315 W BUTLER RD, MAULDIN, SC 29662-2531
(727) 608-8794
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37759
SC
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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