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1083119127
LARRY BRIAN GRANT
CHARLESTON, SC
NPI
1083119127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1835P2201X Pharmacist, Ambulatory Care
(Licence: SC 9700)
Enumeration Date
2018-03-29
Last Update Date
2018-03-29
Business Address
LARRY BRIAN GRANT RPh
59 GEORGE ST
CHARLESTON, SC 29401-1422
Phone number: 843-720-8523
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Mailing Address
LARRY BRIAN GRANT RPh
735 FORT SUMTER DR
CHARLESTON, SC 29412-4250
Phone number:
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