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1336971811
TRAVAISHA WENAE SHAW
IRMO, SC
NPI
1336971811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: SC 60321)
Enumeration Date
2024-08-14
Last Update Date
2024-08-14
Business Address
TRAVAISHA WENAE SHAW RPh
7412 BROAD RIVER RD
IRMO, SC 29063-9662
Phone number: 803-749-3046
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Mailing Address
TRAVAISHA WENAE SHAW RPh
7412 BROAD RIVER RD
IRMO, SC 29063-9662
Phone number: 803-749-3046
Copy
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