Brett C Fallaw

NPI #1164767729 in Mt Pleasant, South Carolina

Provider Information

NPI Number
1164767729
Entity Type
Individual
Name
Brett C Fallaw
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Dec 6, 2012
Last Updated
Dec 6, 2012

Practice Location

Address
1000 JOHNNIE DODDS BLVD STE 106
Address 2
PUBLIX PHARMACY
ZIP Code
29464-3187
Phone
(843) 856-3007

Specialties & Taxonomy Codes

Specialty
Pharmacist

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