Individual
SHANE BRANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
202 SCUFFLETOWN RD, SIMPSONVILLE, SC 29681-7202
(864) 458-8455
Mailing address
202 SCUFFLETOWN RD, SIMPSONVILLE, SC 29681-7202
(864) 458-8455
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35810
SC
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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