Healthcare Provider Details
I. General information
NPI: 1205303583
Provider Name (Legal Business Name): LILIAN DOWIS PHARMD.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/25/2018
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10060 TWO NOTCH RD
COLUMBIA SC
29223-4396
US
IV. Provider business mailing address
210 LIGHTWOOD FARM RD
WOODRUFF SC
29388-7600
US
V. Phone/Fax
- Phone: 803-736-8123
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 37907 |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: