Individual
KRYSTAL LAWSON WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
175 FORUM DR, COLUMBIA, SC 29229-7938
(803) 606-6184
Mailing address
191 TWIN EAGLES DR, COLUMBIA, SC 29203-9072
(803) 606-6184
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35794
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35794
SOUTH CAROLINA BOARD OF PHARMACY
SC
Enumeration date
09/08/2014
Last updated
09/08/2014
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