Individual
DR. LAUREN DEBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
WJBD VETERANS AFFAIRS MEDICAL CENTER, PHARMACY #119, 6439 GARNERS FERRY RD., COLUMBIA, SC 29209-1639
(803) 776-4000
Mailing address
1100 PULASKI ST, APT #825, COLUMBIA, SC 29201-3644
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19013
NC
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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