Individual
DR. LISA CORDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
86 JONATHAN LUCAS ST, ROOM 114, CHARLESTON, SC 29425-8900
(843) 792-6440
(843) 792-9812
Mailing address
86 JONATHAN LUCAS ST, ROOM 114, CHARLESTON, SC 29425-8900
(843) 792-6440
(843) 792-9812
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11865
SC
Other
Enumeration date
04/25/2010
Last updated
12/02/2012
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