Individual
DR. KELLIE WHITE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
616 SOUTH WALNUT STREET, PAMPLICO, SC 29583-0000
(843) 905-0200
(843) 905-0201
Mailing address
PO BOX 240, JOHNSONVILLE, SC 29555-0240
(843) 905-0200
(843) 905-0201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36022
SC
Other
Enumeration date
08/24/2015
Last updated
12/27/2022
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