Individual
JOHN LAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1941 BLOSSOM ST, COLUMBIA, SC 29205-2217
(803) 212-1015
Mailing address
11550 WILSON BLVD, RIDGEWAY, SC 29130-9403
(803) 730-4051
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44171
SC
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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