Individual
ANNA IVANOVNA LAVOTCHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
820 N MAIN ST, WOODRUFF, SC 29388-9001
(864) 476-0463
Mailing address
3 EARLEIGH CT, SIMPSONVILLE, SC 29681-1982
(864) 915-9766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37297
SC
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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