Individual
BRANDI LEIGH MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3701 N KINGS HWY, MYRTLE BEACH, SC 29577-2977
(843) 448-9104
(843) 448-9180
Mailing address
4355 BALDWIN AVE, LITTLE RIVER, SC 29566-8209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35746
SC
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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