Provider First Line Business Practice Location Address:
715 SUMTER ST CLS # 316C
Provider Second Line Business Practice Location Address:
SOUTH CAROLINA COLLEGE OF PHARMACY AT USC
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29208-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-777-4151
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/25/2007