Individual
MONICA SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 SAMS CROSSING DR, COLUMBIA, SC 29229
(803) 788-0535
Mailing address
108 OSPREY NEST CORT, BLYTHEWOOD, SC 29016
(803) 788-0535
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11763
SC
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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