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NPI Code Detail

MEDICARE: MR. STANLEY GARDNER LAWHON RPH

MEDICARE: MR. STANLEY GARDNER LAWHON RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist9997SC
2183500000XPharmacist9415NC
3183500000XPharmacistPS22881FL

General Provider Information

NPI Number : 1619397668
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STANLEY GARDNER LAWHON RPH
Provider Business Mailing Address
First Line : PO BOX 1159
Second Line :
City : ISLE OF PALMS
State : SC
Zip : 29451-1159
Country : US
Telephone Number : 843-886-0787
Fax Number :
Provider Business Practice Location Address
First Line : 3951 W ASHLEY CIR
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-9156
Country : US
Telephone Number : 843-763-2006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2014
Last Update Date : 04/17/2014

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