Individual
DR. CRYSTAL LACOLE FOXWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1328 N MAIN ST, MARION, SC 29571-2011
(843) 423-5212
Mailing address
6407 CATFISH CT, LATTA, SC 29565-5330
(571) 223-8617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37421
SC
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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