Kevan Wallace Page PHARMD

NPI 1174742860 - Pharmacist - 183500000X

NPI Details
NPI 1174742860
Gender Male
Enumeration Date 04/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
101 PETE HOLLIS BLVD
GREENVILLE SC, 29601-1107, US
Phone (864) 232-6711
Fax
Business Location
614 HEATHROW CT
MOORE SC, 29369-8604, US
Phone (864) 303-1951
Fax
Toxanomy
Taxonomy Code 183500000X
License State South Carolina
License Number 010503
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According to our database, Mr. Kevan Wallace Page PHARMD NPI is 1174742860, taxonomy code is 183500000X and license number is 010503, license state is located at South Carolina. Kevan Wallace Page PHARMD physically located at 101 Pete Hollis Blvd, Greenville SC, 29601-1107. NPI Number Kevan Wallace Page PHARMD has the Individual type.

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1174742860 NPI number is provided on an as is basis without warranty of any kind. 1174742860 is maintained by the National Plan & Provider Enumeration System. The contents of Kevan Wallace Page PHARMD are for informational purposes only.