Individual
MS. KACI MICHELLE RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
101 LOCUST ST, LYMAN, SC 29365-1503
(864) 439-1040
(864) 949-0461
Mailing address
101 LOCUST ST, LYMAN, SC 29365-1503
(864) 439-1040
(864) 949-0461
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
20515
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20515
SC BOP
SC
Enumeration date
12/18/2020
Last updated
12/18/2020
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