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1083032999
GERARDO MARTIN
LAKE WYLIE, SC
NPI
1083032999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: SC 9397)
Enumeration Date
2014-03-29
Last Update Date
2014-03-29
Business Address
Mr. GERARDO MARTIN Rph.
175 HIGHWAY 274
LAKE WYLIE, SC 29710-6045
Phone number: 803-619-7028
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Mailing Address
Mr. GERARDO MARTIN Rph.
175 HIGHWAY 274
LAKE WYLIE, SC 29710-6045
Phone number: 803-619-7028
Copy
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