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Individual

DR. JOHN CALVIN THORNE IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
175 FORUM DRIVE, COLUMBIA, SC 29229
(803) 699-7067
Mailing address
4103 DEVINE STREET APT K5, COLUMBIA, SC 29205
(803) 960-7429

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42130
SC

Other

Enumeration date
08/01/2019
Last updated
08/01/2019
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