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Individual

DR. KEITH HORACE RILEY TEELUCKSINGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
115 CENTRAL ISLAND ST STE 400, DANIEL ISLAND, SC 29492-7320
(843) 856-7883
Mailing address
3579 HOLMGREN ST, MOUNT PLEASANT, SC 29466-8372
(415) 902-0640

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
35920
SC
1835P1200X
Pharmacotherapy Pharmacist
Primary
57001
CA
1835P1200X
Pharmacotherapy Pharmacist
PS53047
FL
1835P1200X
Pharmacotherapy Pharmacist
RRH029023
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
141472
NAPB
Enumeration date
11/30/2006
Last updated
06/13/2016
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