Individual
DANIEL PADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7412 BROAD RIVER RD, IRMO, SC 29063-9662
(803) 749-3046
Mailing address
7412 BROAD RIVER RD, IRMO, SC 29063-9662
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42121
SC
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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