Individual
ERNEST BROOME JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7335
(843) 903-6212
Mailing address
289 ASHEPOO CREEK DR, MYRTLE BEACH, SC 29579-8228
(843) 997-0292
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8227
SC
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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