Individual
KETURAH MINGLEDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4295 JEFFERSON DAVIS HWY, BEECH ISLAND, SC 29842-4824
(803) 593-5196
Mailing address
4050 BROWNSTONE DR APT 910, EVANS, GA 30809-9133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43592
SC
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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