Individual
LOIS MCCRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
129 N WASHINGTON ST, SUMTER, SC 29150-4949
(803) 774-8874
Mailing address
PO BOX 1982, SUMTER, SC 29151-1982
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
3967
SC
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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