Individual
DENISE JORENE WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 PARK TERRACE DR, COLUMBIA, SC 29212-3713
(803) 834-3183
Mailing address
PO BOX 2086, IRMO, SC 29063-7086
(803) 834-3183
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
18213
SC
Other
Enumeration date
05/14/2019
Last updated
06/16/2023
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