Provider Demographics
NPI:1285088807
Name:DURANT, ELIZABETH PATRICK (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:PATRICK
Last Name:DURANT
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 1:419 S MILL ST
Mailing Address - Street 2:
Mailing Address - City:MANNING
Mailing Address - State:SC
Mailing Address - Zip Code:29102-2918
Mailing Address - Country:US
Mailing Address - Phone:803-433-2212
Mailing Address - Fax:803-433-2656
Practice Address - Street 1:419 S MILL ST
Practice Address - Street 2:
Practice Address - City:MANNING
Practice Address - State:SC
Practice Address - Zip Code:29102-2918
Practice Address - Country:US
Practice Address - Phone:803-433-2212
Practice Address - Fax:803-433-2656
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12759183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist