Individual
JEFFREY CORRADETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
3411 SOCASTEE BLVD, MYRTLE BEACH, SC 29588-6111
(843) 294-1285
Mailing address
3934 SAINT IVES RD UNIT 1123, MYRTLE BEACH, SC 29588-1168
(302) 388-4956
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
32906
SC
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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