Individual
EBONY LA'TOYA DOLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1077 BROAD ST, SUMTER, SC 29150-2504
(803) 788-6551
Mailing address
211 TROWBRIDGE RD, COLUMBIA, SC 29229-9167
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I9447
SC
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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