Whalio Doctors

NPI 1023316866

Tiyawnah Keiston Miracle, PHARMD

Practitioner Pharmacist Lexington, SC

Practice location

Address
423 W Main St, Lexington, SC 29072-2637
Phone
(803) 957-3071

Registered specialties

Pharmacist Primary
Pharmacy Service Providers Taxonomy 183500000X Licence 12902 (SC)

Registry record

NPI
1023316866
Entity type
Individual
Sex (as registered)
Female
NPI issued
2 Mar 2011
Record last updated
25 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.