Individual
LAUREN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1575 OLD TROLLEY RD, SUMMERVILLE, SC 29485-8208
(843) 832-0557
Mailing address
1603 BALSAM ST, CHARLESTON, SC 29407-6260
(828) 403-4905
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42757
SC
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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