Individual
HEATHER MARIA CHITTAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1903 S LAKE DR, LEXINGTON, SC 29073-7760
(803) 356-1001
(803) 356-1006
Mailing address
1903 S LAKE DR, LEXINGTON, SC 29073-7760
(803) 356-1001
(803) 356-1006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12681
SC
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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