Individual
CASEY P HOLSOMBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 W COLUMBIA AVE, BATESBURG, SC 29006-2124
(803) 532-2586
(803) 532-6644
Mailing address
127 W COLUMBIA AVE, BATESBURG, SC 29006-2124
(803) 532-2586
(803) 532-6644
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10640
SC
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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