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Individual

SUZANNE ELLIS MACKLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1303 38TH AVE N, MYRTLE BEACH, SC 29577-1315
(843) 448-4437
Mailing address
7705 MEMORY LN, MYRTLE BEACH, SC 29588-8719
(843) 215-3262

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8263
SC

Other

Enumeration date
08/27/2012
Last updated
08/27/2012
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