Individual
JOSEY LECKLITNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 N MAIN ST, MARION, SC 29571-2518
(843) 423-1021
Mailing address
700 N MAIN ST, MARION, SC 29571-2518
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36859
SC
Other
Enumeration date
09/17/2016
Last updated
09/17/2016
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