Individual
O'STACIA WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1316 REDBANK RD, 9, GOOSE CREEK, SC 29445
(843) 572-5707
Mailing address
2004 CRIPPLECREEK DR, LADSON, SC 29456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11892
SC
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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