Individual
LACEYE ANN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
204 W PINE ST, FLORENCE, SC 29501-4725
(843) 629-9440
Mailing address
204 W PINE ST, FLORENCE, SC 29501-4725
(843) 629-9440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14296
SC
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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