Individual
ALEXA MARION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
694 FAIRVIEW RD, SIMPSONVILLE, SC 29680-6708
(864) 963-4406
Mailing address
694 FAIRVIEW RD, SIMPSONVILLE, SC 29680-6708
(864) 963-4406
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13710
SC
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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