MRS. DETRA PROVOST

RPH specializing in pharmacist in Aiken, South Carolina

NPI: 1265703128

Provider Type

1

Practice Locations

Mailing Location

114 ABERDEEN DR

AIKEN, SC 29803

📞 8036493603

📠 8036493603

Practice Location

4223 WASHINGTON RD

EVANS, GA 30809

📞 7068690937

📠 7069939781

Provider Information

Gender:F
Sole Proprietor:No
Enumeration Date:1/24/2012
Last Updated:1/24/2012

Credentials

Primary Credential:RPH