Organization
CVS/PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID OUELLET PHARMD (PHARMACIST)
(803) 479-8419
Entity
Organization
Contact information
Practice address
1002 SAMS CROSSING RD, COLUMBIA, SC 29229-9591
(803) 788-0535
Mailing address
4001 CORONADO DR, COLUMBIA, SC 29203-5409
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
35583
SC
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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