Individual
CHRISTINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5608 SUNSET BLVD, LEXINGTON, SC 29072
(803) 957-5322
Mailing address
808 ROLLINGWOOD TRAIL, COLUMBIA, SC 29210
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8562
SC
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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