Provider Demographics
NPI:1881789642
Name:LAWLOR, CHRISTY RENEE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:RENEE
Last Name:LAWLOR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 W FARIS RD
Mailing Address - Street 2:GHS ANTICOAGULATION CLINIC-MCC BUILDING
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-4254
Mailing Address - Country:US
Mailing Address - Phone:864-455-4132
Mailing Address - Fax:864-455-3760
Practice Address - Street 1:875 W FARIS RD
Practice Address - Street 2:GHS ANTICOAGULATION CLINIC-MCC BUILDING
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4254
Practice Address - Country:US
Practice Address - Phone:864-455-4132
Practice Address - Fax:864-455-3760
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10561183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist