Individual
MIYA LASHEA' LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4467 DEVINE ST, COLUMBIA, SC 29205-3611
(803) 787-2527
Mailing address
96 ROUNDTREE RD, BLYTHEWOOD, SC 29016-7316
(803) 238-6576
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36897
SC
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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