Individual
MISS ANTONIA M. MAURER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 BROAD RIVER RD, COLUMBIA, SC 29210-7301
(803) 561-0515
Mailing address
143 LATONEA DR, COLUMBIA, SC 29210-7572
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3905
SC
Other
Enumeration date
01/30/2011
Last updated
01/30/2011
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