Provider Demographics
NPI:1487952685
Name:DUPONT, LASHONDA MICHELE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LASHONDA
Middle Name:MICHELE
Last Name:DUPONT
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 1:2255 APPLETON RD
Mailing Address - Street 2:
Mailing Address - City:ALLENDALE
Mailing Address - State:SC
Mailing Address - Zip Code:29810-6907
Mailing Address - Country:US
Mailing Address - Phone:803-686-0589
Mailing Address - Fax:803-584-0174
Practice Address - Street 1:137 MAIN ST S
Practice Address - Street 2:
Practice Address - City:ALLENDALE
Practice Address - State:SC
Practice Address - Zip Code:29810-3601
Practice Address - Country:US
Practice Address - Phone:803-584-7735
Practice Address - Fax:803-584-0174
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-11
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10673183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist