Individual
MR. KENNETH PATRICK MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
208 BI LO BLVD, GREENVILLE, SC 29607-5346
(864) 213-2583
(864) 213-2503
Mailing address
208 BI LO BLVD, GREENVILLE, SC 29607-5346
(864) 213-2583
(864) 213-2503
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10729
NC
183500000X
Pharmacist
Primary
9999
SC
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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