Individual
ALISHA BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7686 CHARLOTTE HWY, FORT MILL, SC 29707-7098
(803) 548-9201
Mailing address
3785 LADSON RD APT 315, LADSON, SC 29456-4356
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60595
SC
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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