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Individual

TRAVIS ORR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3501 FOREST DR, COLUMBIA, SC 29204-4003
(803) 743-4373
Mailing address
3501 FOREST DR, COLUMBIA, SC 29204-4003
(803) 743-4373

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36576
SC

Other

Enumeration date
06/22/2016
Last updated
06/22/2016
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