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Individual

MICHAEL R ROBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
7467 SAINT ANDREWS RD STE 6, IRMO, SC 29063-2876
(803) 732-0426
Mailing address
509 WINDING WAY, COLUMBIA, SC 29212-1354
(803) 781-5296

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4979
SC

Other

Enumeration date
06/28/2007
Last updated
07/08/2007
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