Individual
MRS. STACEY ANNE KYZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1250 TOM HALL ST, FORT MILL, SC 29715-7000
(803) 548-4699
(803) 548-4046
Mailing address
1250 TOM HALL ST, FORT MILL, SC 29715-7000
(803) 548-4699
(803) 548-4046
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12049
SC
183500000X
Pharmacist
14686
NC
183500000X
Pharmacist
28RI02465100
NJ
Other
Enumeration date
02/23/2010
Last updated
12/23/2015
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