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1851010862
NATHEAN ANTWAN SCOTT
ORANGEBURG, SC
NPI
1851010862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: SC 43846)
Additional Taxonomies
183500000X Pharmacist
(Licence: NC 31605)
Enumeration Date
2022-08-23
Last Update Date
2024-04-10
Business Address
Dr. NATHEAN ANTWAN SCOTT PharmD
3310 MAGNOLIA ST
ORANGEBURG, SC 29115-1468
Phone number: 803-531-6900
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Mailing Address
Dr. NATHEAN ANTWAN SCOTT PharmD
3310 MAGNOLIA ST
ORANGEBURG, SC 29115-1466
Phone number: 803-747-3036
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