Individual
ERIC CONRAD PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3203 W PALMETTO ST, SUITE G, FLORENCE, SC 29501-5900
(800) 849-0620
(800) 849-0622
Mailing address
7655 KINGSTREE HWY, MANNING, SC 29102-7477
(803) 460-8877
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
008254
SC
Other
Enumeration date
11/12/2012
Last updated
02/15/2017
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