Individual
DR. RAEGAN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2401 AUGUSTA RD, WEST COLUMBIA, SC 29169-4543
(803) 791-8114
Mailing address
PO BOX 1061, CHAPIN, SC 29036-1061
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43088
SC
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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