Individual
MRS. DEBRA SHOWALTER MUNDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3381 PHILLIS BOULEVARD, DEPARTMENT OF VETERANS AFFAIRS PRIMARY CARE CLINIC, MYRTLE BEACH, SC 29577
(843) 477-0177
(843) 232-2428
Mailing address
2615 SARASOTA ST, MYRTLE BEACH, SC 29577-4740
(843) 444-1080
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202006407
VA
Other
Enumeration date
01/29/2007
Last updated
01/23/2013
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