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1427427061
KRYSTAL BALLENTINE
MONCKS CORNER, SC
NPI
1427427061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: SC 9874)
Enumeration Date
2015-09-24
Last Update Date
2015-09-24
Business Address
KRYSTAL BALLENTINE PHARMD
402 E MAIN ST
MONCKS CORNER, SC 29461-3616
Phone number: 843-761-5255
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Mailing Address
KRYSTAL BALLENTINE PHARMD
1122 RUSSELLVILLE RD
SAINT STEPHEN, SC 29479-3006
Phone number: 843-670-4268
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