Individual
SHANNON DARE BUSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1985 FOLLY RD, CHARLESTON, SC 29412-9577
(843) 762-6591
(843) 762-9377
Mailing address
1985 FOLLY RD, CHARLESTON, SC 29412-9577
(843) 762-6591
(843) 762-9377
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11490
SC
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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