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Individual

DR. CHAD WALTER LAVINGHOUSEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-7339
Mailing address
1201 CLUBSIDE DR, LONGWOOD, FL 32779-6206

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS44117
FL

Other

Enumeration date
12/20/2012
Last updated
12/20/2012
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