Individual
MRS. VICKI MCCONKEY BOOZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1308 LAUREL ST, COLUMBIA, SC 29201-2514
(803) 931-8123
Mailing address
110 EDWARD CT, COLUMBIA, SC 29205-2710
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
4438
SC
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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