Individual
SHELLY-ANN COKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1223 SAINT ANDREWS RD, COLUMBIA, SC 29210-5821
(803) 731-5120
Mailing address
1223 SAINT ANDREWS RD, COLUMBIA, SC 29210-5821
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14399
SC
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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