Organization
CVS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRYSTAL DENA LEWIS PHARMD (PHARMACISTS)
(803) 533-1390
Entity
Organization
Contact information
Practice address
2195 MAGNOLIA ST, ORANGEBURG, SC 29115-4484
(803) 533-1390
(803) 534-7145
Mailing address
2195 MAGNOLIA ST, ORANGEBURG, SC 29115-4484
(803) 533-1390
(803) 534-7145
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35754
SC
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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