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NPI Code Detail

MEDICARE: DR. KRISTIN BRAWLEY DUKES PHARM.D

MEDICARE:  DR. KRISTIN BRAWLEY DUKES  PHARM.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist011136SC

General Provider Information

NPI Number : 1871745331
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTIN BRAWLEY DUKES PHARM.D
Provider Business Mailing Address
First Line : 633 HAMPTON TRACE LN
Second Line :
City : COLUMBIA
State : SC
Zip : 29209-1937
Country : US
Telephone Number : 803-776-8278
Fax Number :
Provider Business Practice Location Address
First Line : 7520 GARNERS FERRY RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29209-2628
Country : US
Telephone Number : 803-783-1589
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2008
Last Update Date : 10/15/2008

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Directions to “ DR. KRISTIN BRAWLEY DUKES PHARM.D” Practice Location

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