Individual
DR. SCOTT BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
698 FAIRVIEW RD, SIMPSONVILLE, SC 29680-6708
(864) 360-8112
Mailing address
698 FAIRVIEW RD, SIMPSONVILLE, SC 29680-6708
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36307
SC
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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