Individual
DAVID OUELLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1002 SAMS CROSSING RD, COLUMBIA, SC 29229-9591
(803) 788-0535
(803) 788-8750
Mailing address
4001 CORONADO DR, COLUMBIA, SC 29203-5409
(803) 479-8419
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35583
SC
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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