Individual
NICOLE BOOKSTAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6864
(803) 434-6449
(803) 434-2134
Mailing address
500 AMHERST AVE, COLUMBIA, SC 29205-2602
(803) 634-4773
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
12657
SC
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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