TED TRISTAN NUSSBAUM

MONCKS CORNER, SC
NPI1497052666
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: SC  11560)
Enumeration Date2011-02-23
Last Update Date2021-03-15
Business Address
TED TRISTAN NUSSBAUM RPh
1008 OLD HIGHWAY 52 STE G
MONCKS CORNER, SC 29461-3011
Phone number: 843-899-4700
Mailing Address
TED TRISTAN NUSSBAUM RPh
1404 BRITISH DR
MONCKS CORNER, SC 29461-7128
Phone number: 843-830-8640
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