Carolyn Hallman Lake, PHARMD
NPI #1477904480 in Clemson, South Carolina
Provider Information
- NPI Number
- 1477904480
- Entity Type
- Individual
- Name
- Carolyn Hallman Lake, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Jun 30, 2016
- Last Updated
- Jun 30, 2016
Practice Location
- Address
- 1100 TIGER BLVD
- City
- Clemson
- State
- South Carolina
- ZIP Code
- 29631-2664
- Phone
- (864) 653-7962
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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