Individual
LISA HEAFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
571 N HARPER ST, LAURENS, SC 29360-2359
(864) 984-3026
Mailing address
571 N HARPER ST, LAURENS, SC 29360-2359
(864) 984-3026
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43652
SC
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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