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Individual

MS. DIANNE OLDHAM GALLOWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6169 SAINT ANDREWS RD, COLUMBIA, SC 29212-3146
(803) 798-5957
Mailing address
6169 SAINT ANDREWS RD, COLUMBIA, SC 29212-3146
(803) 798-5957

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4902
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4902
RPH LICENCE NUMBER
SC
Enumeration date
02/19/2010
Last updated
09/28/2012
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