Individual
MS. HEATHER DAVENPORT STOUDEMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3501 FOREST DR, COLUMBIA, SC 29204-4003
(803) 743-4373
(803) 743-4375
Mailing address
420 DANTZLER ST, ST MATTHEWS, SC 29135-1420
(803) 622-0209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12629
SC
Other
Enumeration date
02/28/2011
Last updated
05/21/2021
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