Individual
FAIRLYNN GROOMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 U.S. 301 HIGHWAY, DILLON, SC 29536
(843) 774-3400
Mailing address
1251 LIZZIE BYRD RD, SOCIETY HILL, SC 29593-5417
(843) 319-2759
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35638
SC
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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