Individual
LEANNE MARIE KYZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
309 BROAD ST, GILBERT, SC 29054-8587
(803) 892-5572
Mailing address
PO BOX 346, GILBERT, SC 29054
(803) 892-5572
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11418
SC
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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