Individual
MICHAEL ADEL BASALY TADROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
698 FAIRVIEW ROAD, SIMPSONVILLE, SC 29680
(864) 962-8991
Mailing address
125 CANEBRAKE DRIVE, GREER, SC 29650
(407) 624-6493
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37437
SC
Other
Enumeration date
09/01/2018
Last updated
09/01/2018
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