Individual
LEAH MARIE CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
615 BULTMAN DR, SUMTER, SC 29150-2514
(803) 305-6194
Mailing address
40 WALDEN CIR, SUMTER, SC 29154-8135
(803) 983-5960
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42519
SC
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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