Individual
JYOTHI MALYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
300 BYPASS 25 NE, GREENWOOD, SC 29646-3009
(864) 321-6029
Mailing address
1105 CROSSWINDS LN, SENECA, SC 29678-1381
(607) 379-9156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42240
SC
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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