Individual
BROOKE NICOLE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
Mailing address
436 ABBERLY VILLAGE CIR, WEST COLUMBIA, SC 29169-2433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43063
SC
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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