Individual
TIANA LATRELL CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 FORUM DR, COLUMBIA, SC 29229-7938
(803) 699-7067
Mailing address
175 FORUM DR, COLUMBIA, SC 29229-7938
(803) 699-7067
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43213
SC
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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