Individual
STACEY RISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7501 RIVERS AVE, NORTH CHARLESTON, SC 29406-4662
(843) 764-1745
Mailing address
7501 RIVERS AVE, NORTH CHARLESTON, SC 29406-4662
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH033198
GA
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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