JANA BEAU LEONE-LAROSE

MYRTLE BEACH, SC
NPI1235405242
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: SC  9849)
Additional Taxonomies183500000X Pharmacist
(Licence: CO  13578)
183500000X Pharmacist
(Licence: VI  222)
Enumeration Date2012-03-25
Last Update Date2012-03-25
Business Address
-- JANA BEAU LEONE-LAROSE RPh
1021 OAK FOREST LN
MYRTLE BEACH, SC 29577-9795
Phone number: 843-839-6606
Mailing Address
-- JANA BEAU LEONE-LAROSE RPh
626 SLASH PINE CT
MYRTLE BEACH, SC 29579-1748
Phone number: 843-504-7104