Individual
DR. LAURYN SHIRLEY WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7467 SAINT ANDREWS RD STE 6, IRMO, SC 29063-2876
(803) 732-0426
Mailing address
106 TAYLORS HILL DR, COLUMBIA, SC 29201-2377
(803) 730-5146
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
37856
SC
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
37856
SC
Other
Enumeration date
10/22/2018
Last updated
01/20/2021
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