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Individual

AMELIA BROOKE DOUGLASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1216 W MAIN ST STE D, LEXINGTON, SC 29072-2453
(803) 358-3030
Mailing address
300 HEDGEROW CT, LEXINGTON, SC 29072-7694
(803) 446-0023

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37733
SC

Other

Enumeration date
06/29/2023
Last updated
06/29/2023
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