Individual
MAYRA ALEJANDRA URENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACY D
Contact information
Practice address
854 HWY 93, CLEMSON, SC 29681
(864) 654-3094
Mailing address
854 HWY 93, CLEMSON, SC 29631
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
37254
SC
Other
Enumeration date
08/01/2017
Last updated
08/24/2019
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