Individual
NICOLE MORTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5001 SOCASTEE BLVD, MYRTLE BEACH, SC 29588-7339
(843) 293-6066
Mailing address
1228 PINERIDGE ST, CONWAY, SC 29527-6066
(843) 957-1103
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60690
SC
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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