Individual
CANDACE LATESSE CANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1080 ALICE DR, SUMTER, SC 29150-2463
(803) 778-0460
Mailing address
510 DOGWOOD DR, BISHOPVILLE, SC 29010-1914
(803) 795-3398
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42669
SC
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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