Individual provider · Type 1 NPI

Mica Lauren Blackmon, PharmD

Pharmacist · Kershaw, SC

NPI number 1417205709 Active

Practice location

515 S Hampton St
Kershaw, SC 29067-1834

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X13860 (SC)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

4 other providers at this address

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About NPI 1417205709

Mica Lauren Blackmon, PharmD's National Provider Identifier is 1417205709, issued on Aug 17, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Kershaw, SC. The record was last updated on Feb 20, 2021.