Individual
MRS. TRACI LATONYA KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1728 AIRPORT RD, LANCASTER, SC 29720-3805
(803) 285-8491
(803) 285-7262
Mailing address
1728 AIRPORT RD, LANCASTER, SC 29720-3805
(803) 285-8491
(803) 285-7262
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8724
SC
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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