Individual
CHARLES B ROMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4711-5 FOREST DRIVE, COLUMBIA, SC 29206
(803) 787-0186
(803) 787-7837
Mailing address
4711-5 FOREST DRIVE, COLUMBIA, SC 29206
(803) 787-0186
(803) 787-7837
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5143
SC
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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