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1134173784
JOEL CHANDLER LISTA
N CHARLESTON, SC
NPI
1134173784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: SC 5947)
Enumeration Date
2006-05-19
Last Update Date
2007-07-08
Business Address
Mr. JOEL CHANDLER LISTA Rph
3725 RIVERS AVE SUITE 2
N CHARLESTON, SC 29405-7038
Phone number: 843-745-8650
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Mailing Address
Mr. JOEL CHANDLER LISTA Rph
523 SCHOONER RD
CHARLESTON, SC 29412-8934
Phone number: 843-745-8650
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