Individual
STACEY HAYES WHITEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
707 CHURCH ST, CONWAY, SC 29526-4824
(843) 248-6302
(843) 248-0752
Mailing address
707 CHURCH ST, CONWAY, SC 29526-4824
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11776
SC
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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