Mary Diane Keisler, RPH

NPI #1497166458 in Hollywood, South Carolina

Provider Information

NPI Number: 1497166458
Entity Type: Individual
Name: Mary Diane Keisler, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: May 13, 2014
Last Updated: May 13, 2014

Practice Location

Address: 4794 HIGHWAY 162
Address 2: SUITE A
City: Hollywood
State: South Carolina
ZIP Code: 29449-5740
Phone: (843) 769-6522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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