Individual
STEPHEN DALE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
120 FORUM DR, COLUMBIA, SC 29229-7951
(803) 699-8332
(803) 462-1021
Mailing address
120 FORUM DR, COLUMBIA, SC 29229-7951
(803) 699-8332
(803) 462-1021
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6968
SC
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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