Individual
BONNIE WILGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6048 FIELDSTONE CIR, CHARLESTON, SC 29414-7571
(843) 200-4793
Mailing address
6048 FIELDSTONE CIR, CHARLESTON, SC 29414-7571
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7472
SC
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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