Individual
AUBREY LUKASZEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900
Mailing address
1026 RADIUS ST, MANNING, SC 29102-7836
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37177
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37117
BOARD OF PHARMACY
SC
Enumeration date
07/14/2017
Last updated
07/14/2017
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