Individual
MRS. BRYANT LANE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
106 E MAIN ST, LATTA, SC 29565-1617
(842) 752-0023
(843) 752-0062
Mailing address
106 E MAIN ST, LATTA, SC 29565-1617
(843) 752-0079
(843) 752-0062
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9109
SC
Other
Enumeration date
11/21/2005
Last updated
10/28/2011
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