Individual
MALLORIE STANZIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 HIGHWAY 153, GREENVILLE, SC 29611-7515
(864) 295-2029
Mailing address
3501 HIGHWAY 153, GREENVILLE, SC 29611-7515
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37855
SC
Other
Enumeration date
12/23/2020
Last updated
12/30/2020
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