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Individual

LISA L LARGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1741 GOLD HILL RD STE 106, FORT MILL, SC 29708-8204
(803) 547-6100
(803) 547-7720
Mailing address
1741 GOLD HILL RD STE 106, FORT MILL, SC 29708-8204
(803) 547-6100
(803) 547-7720

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7901
SC

Other

Enumeration date
09/18/2013
Last updated
01/19/2021
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