Individual
RICKY ALBERT MCMAKIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2300 DECKER BLVD, COLUMBIA, SC 29206-2311
(803) 788-3728
Mailing address
2300 DECKER BLVD, COLUMBIA, SC 29206-2311
(803) 788-3728
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36821
SC
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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