Individual
LAURA OUTLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1008 LAKE MURRAY BLVD, IRMO, SC 29063-2821
(803) 749-3843
Mailing address
1008 LAKE MURRAY BLVD, IRMO, SC 29063-2821
(803) 749-3843
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35518
SC
Other
Enumeration date
07/27/2014
Last updated
07/27/2014
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