Individual
MRS. LISA HUMCKE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6025 WADE HAMPTON BLVD, TARGET #1937, TAYLORS, SC 29687-5334
(864) 879-9721
(864) 879-9721
Mailing address
6025 WADE HAMPTON BLVD, TARGET #1937, TAYLORS, SC 29687-5334
(864) 879-9721
(864) 879-9721
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12642
SC
Other
Enumeration date
05/30/2011
Last updated
05/30/2011
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