MRS. Mica Lauren Blackmon, PHARM.D.
NPI #1417205709 in Kershaw, South Carolina
Provider Information
- NPI Number
- 1417205709
- Entity Type
- Individual
- Name
- MRS. Mica Lauren Blackmon, PHARM.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARM.D.
- Enumeration Date
- Aug 17, 2012
- Last Updated
- Feb 20, 2021
Practice Location
- Address
- 515 S HAMPTON ST
- City
- Kershaw
- State
- South Carolina
- ZIP Code
- 29067-1834
- Phone
- (803) 475-7370
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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