Individual
DAVID IVAN LAVOTCHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6025 WADE HAMPTON BLVD, TAYLORS, SC 29687-5334
(864) 879-9721
Mailing address
6025 WADE HAMPTON BLVD, TAYLORS, SC 29687-5334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43637
SC
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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