Individual
DR. MALCOLM MATHESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10048 CHARLOTTE HWY, INDIAN LAND, SC 29707-7135
(803) 802-1818
Mailing address
10048 CHARLOTTE HWY, INDIAN LAND, SC 29707-7135
(803) 802-1818
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12200
SC
183500000X
Pharmacist
23877
NC
Other
Enumeration date
06/07/2014
Last updated
06/07/2014
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