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Individual

MR. CHARLES ERVIN SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
203 W MARION ST, KERSHAW, SC 29067-1412
(803) 475-9665
(803) 475-0996
Mailing address
1886 LAKE RD, RIDGEWAY, SC 29130-9657
(803) 320-4410

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4600
SC

Other

Enumeration date
06/12/2006
Last updated
02/14/2015
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