Individual
ODELL GLENN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
51 NASSAU ST, CHARLESTON, SC 29403-5513
(843) 722-4112
Mailing address
51 NASSAU ST, CHARLESTON, SC 29403-5513
(843) 722-4112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T-13163
MS
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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