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Individual

MR. THOMAS R PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1071 S LAKE DR, LEXINGTON, SC 29073-3719
(803) 957-0493
(401) 652-1245
Mailing address
1071 S LAKE DR, LEXINGTON, SC 29073-3719
(803) 957-0493
(401) 652-1245

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4990
SC

Other

Enumeration date
08/22/2012
Last updated
08/22/2012
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