Individual
MRS. TEAL DIXON LOCKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-2179
Mailing address
1193 MANOR LN, MT PLEASANT, SC 29464-5188
(843) 270-7412
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
007220
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007220
PHARMACY LICENSE
SC
Enumeration date
05/16/2007
Last updated
06/12/2015
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