Provider Demographics
NPI:1881996452
Name:LEGEYT, KAREN MELISSA (PHARMD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:MELISSA
Last Name:LEGEYT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:MELISSA
Other - Last Name:MUIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:408 E NORTH 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:SC
Mailing Address - Zip Code:29678-2742
Mailing Address - Country:US
Mailing Address - Phone:864-885-0548
Mailing Address - Fax:864-885-0080
Practice Address - Street 1:408 E NORTH 1ST ST
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29678-2742
Practice Address - Country:US
Practice Address - Phone:864-885-0548
Practice Address - Fax:864-885-0080
Is Sole Proprietor?:No
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10254183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist