Individual
MS. KELLY MACKEY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM TECH
Contact information
Practice address
1073 W MEETING ST, LANCASTER, SC 29720-2205
(803) 285-2021
(803) 285-7990
Mailing address
1045 E MEADOW DR APT B, LANCASTER, SC 29720-5822
(803) 804-8735
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
15952
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15952
SC PHARM REGISTRATION
SC
Enumeration date
02/15/2007
Last updated
07/08/2007
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