Individual
LISA Z WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2498 2ND LOOP RD, FLORENCE, SC 29501-6162
(843) 317-1233
Mailing address
2498 2ND LOOP RD, FLORENCE, SC 29501-6162
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
007144
SC
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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