Blackmon, Mica Lauren

Blackmon, Mica Lauren is an individual health care provider with primary practice located at 515 S Hampton St , Kershaw SC 29067-1834. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Blackmon, Mica Lauren can be contacted via phone (803) 475-7370.

Contact Information

Primary practice address
515 S Hampton St Kershaw SC 29067-1834
Phone: (803) 475-7370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 13860 South Carolina

Profile Details

NPI number 1417205709
LBN Legal business name Blackmon, Mica Lauren
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2012
Last updated Feb 20th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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