Individual
MS. KELLY SUSAN LARKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 N MAIN ST, GREER, SC 29650-1921
(864) 877-0753
(864) 877-5171
Mailing address
6 ROLLINGREEN RD, GREER, SC 29651-5975
(864) 320-1264
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
23882
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-03095
SCDHEC-BUREAU OF DRUG CON
SC
05
—
730956
—
SC
Enumeration date
01/24/2007
Last updated
03/07/2023
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