Individual
DR. DANIELLE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
65 SYCAMORE AVE., CHARLESTON, SC 29407
(843) 571-4461
Mailing address
65 SYCAMORE AVE., CHARLESTON, SC 29407
(843) 571-4461
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011211
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
730407
—
SC
Enumeration date
09/13/2012
Last updated
09/13/2012
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