Individual
MRS. CARRIE FREEMAN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4464 DEVINE ST, COLUMBIA, SC 29205-3605
(803) 738-1108
(803) 738-7015
Mailing address
4464 DEVINE ST, COLUMBIA, SC 29205-3605
(803) 738-1108
(803) 738-7015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8451
SC
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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