Organization
WALMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE KATHLEEN VOSO PHARMD (PHARMACIST)
(843) 232-0495
Entity
Organization
Contact information
Practice address
125 MARYPORT DRIVE, MYRTLE BEACH, SC 29575
(843) 232-0495
(843) 232-0497
Mailing address
125 MARYPORT DRIVE, MYRTLE BEACH, SC 29575
(843) 232-0495
(843) 232-0497
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12598
SC
Other
Enumeration date
04/21/2014
Last updated
10/14/2014
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