Individual
ALICIA MUELLENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3312 DEVINE ST, COLUMBIA, SC 29205-1850
(803) 748-8588
Mailing address
3312 DEVINE ST, COLUMBIA, SC 29205-1850
(803) 748-8588
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36673
SC
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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