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Individual

LINDA ANN CORLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1071 S LAKE DR, LEXINGTON, SC 29073-3719
(803) 957-0605
Mailing address
2821 MINERAL SPRINGS RD, LEXINGTON, SC 29072-9141

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37307
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37307
BOARD OF PHARMACY
SC
Enumeration date
08/09/2017
Last updated
08/09/2017
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