Individual
MRS. KRISTIN LAUREN DEITLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1303 38TH AVE N, MYRTLE BEACH, SC 29577-1315
(843) 448-4437
(843) 946-9677
Mailing address
1303 38TH AVE N, MYRTLE BEACH, SC 29577-1315
(843) 448-4437
(843) 946-9677
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11940
SC
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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