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Individual

MS. LORI ANN BOTKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
4724 CHARLOTTE HWY, CLOVER, SC 29710-8095
(803) 831-1911
Mailing address
2126 DILWORTH RD E, CHARLOTTE, NC 28203-5728
(704) 332-5000

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13278
SC

Other

Enumeration date
06/27/2011
Last updated
06/27/2011
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