Individual
LAUREN MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
415 HOLLY BERRY LN, LUGOFF, SC 29078-9350
(803) 427-4652
Mailing address
415 HOLLY BERRY LN, LUGOFF, SC 29078-9350
(803) 427-4652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36818
SC
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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