Individual
RYAN ASHLYN GOURDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
1338 MAIN ST APT 304, COLUMBIA, SC 29201-3250
(843) 751-6420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60346
SC
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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