Individual
REBECCA FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19354 SOLOMON BLATT AVE N, BLACKVILLE, SC 29817-2304
(803) 284-3372
Mailing address
19354 SOLOMON BLATT AVE N, BLACKVILLE, SC 29817-2304
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60648
SC
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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