Individual
MRS. CARLOTTA WOODARD PORTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
(803) 695-6747
Mailing address
9629 WINDSOR LAKE BLVD, COLUMBIA, SC 29223-2023
(803) 736-6978
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5222
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5222
PHARMACY LICENSE NUMBER
SC
Enumeration date
08/13/2006
Last updated
07/08/2007
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