Individual
LARYSSA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7771 PALMETTO COMMERCE PKWY, NORTH CHARLESTON, SC 29420-8825
(843) 876-7074
Mailing address
1385 CLASSIC CT UNIT 120, MOUNT PLEASANT, SC 29466-7267
(419) 706-5227
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36102
SC
Other
Enumeration date
07/02/2015
Last updated
06/05/2024
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