Individual
MR. AVERY ETHAN LAMBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
236 W MCINTYRE ST, MULLINS, SC 29574-3524
(843) 464-0372
(843) 464-2729
Mailing address
236 W MCINTYRE ST, MULLINS, SC 29574-3524
(843) 464-0372
(843) 464-2729
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42222
SC
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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