Individual
MRS. BRENDA DAVIS LESESNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
415 E BROOKS RD, ANDREWS, SC 29510-4041
(843) 264-3045
Mailing address
415 E BROOKS RD, ANDREWS, SC 29510-4041
(843) 264-3045
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
05384
SC
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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