Individual
JUDITH GOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2014 WADE HAMPTON BLVD, GREENVILLE, SC 29615-1037
(864) 214-8703
Mailing address
2014 WADE HAMPTON BLVD., GREENVILLE, SC 29615-5513
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37305
SC
Other
Enumeration date
08/16/2017
Last updated
09/11/2017
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