Individual
MISS KIMBERLY JANE LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(803) 454-0194
Mailing address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(803) 454-0194
(803) 726-2209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8250
SC
Other
Enumeration date
06/25/2015
Last updated
08/11/2023
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