Individual
TARA MICHELLE CHAMBLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1071 S LAKE DR, LEXINGTON, SC 29073-3719
(803) 957-0753
Mailing address
924 MILL RUN, WEST COLUMBIA, SC 29169-3437
(864) 245-4059
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13741
SC
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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