Individual
SHASTA GROTEWIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
7250 RIVERS AVE, NORTH CHARLESTON, SC 29406-4625
(843) 572-8918
Mailing address
5329 DEEP BLUE LN, NORTH CHARLESTON, SC 29418-2647
(919) 903-5780
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37371
SC
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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