Individual
ADAM WILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 ASSEMBLY ST, COLUMBIA, SC 29201-3938
(803) 212-7016
Mailing address
900 ASSEMBLY ST, COLUMBIA, SC 29201-3938
(803) 212-7016
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44044
SC
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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