Individual
THERESA MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4467 DEVINE ST, COLUMBIA, SC 29205-3611
(803) 787-2527
Mailing address
1340 N BRICKYARD RD APT 6134, COLUMBIA, SC 29223-8032
(252) 876-6051
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44077
SC
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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