Individual
SHAYLA NICOLE LITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
175 FORUM DR, COLUMBIA, SC 29229-7938
(803) 699-7067
Mailing address
811 MALLET HILL RD, APT 304, COLUMBIA, SC 29223-4407
(803) 760-0151
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35499
SC
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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