Individual
AUSTIN TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3501 FOREST DR, COLUMBIA, SC 29204-4003
(803) 743-4373
Mailing address
3501 FOREST DR, COLUMBIA, SC 29204-4003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42509
SC
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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