MR. Don R Revis SR., R PH
NPI #1043342694 in Clinton, South Carolina
Provider Information
- NPI Number
- 1043342694
- Entity Type
- Individual
- Name
- MR. Don R Revis SR., R PH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- R PH
- Enumeration Date
- Mar 9, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 150 SUMTER STREET EXT
- City
- Clinton
- State
- South Carolina
- ZIP Code
- 29325-7703
- Phone
- (864) 833-5625
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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