Individual
MRS. STACEY DIONNE WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
102 EXPRESS LANE, DARLINGTON, SC 29532
(843) 395-6896
(843) 393-3525
Mailing address
102 EXPRESS LANE, DARLINGTON, SC 29532
(843) 395-6896
(843) 393-3525
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
008642
SC
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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