Individual
MRS. LAVEDA YOLANDA ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
100 PRISON RD, ESTILL, SC 29918
(803) 625-4607
(803) 625-5603
Mailing address
220 PALOMINO DR, GUYTON, GA 31312-5178
(912) 728-3037
(912) 728-3037
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
008884
SC
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
008884
SC
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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