Individual
LESLIE A. PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D, BCPS
Contact information
Practice address
6439 GARNERS FERRY RD, ATTN: PHARMACY DEPT, COLUMBIA, SC 29209-1638
(803) 528-4830
Mailing address
117 MAJESTIC CT, LEXINGTON, SC 29072-6962
(803) 542-0197
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
10042
SC
1835P1200X
Pharmacotherapy Pharmacist
15464
NC
Other
Enumeration date
12/20/2005
Last updated
07/01/2016
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