Individual
ALYSSA GRAHAM TOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1941 BLOSSOM ST, COLUMBIA, SC 29205-2217
(803) 212-1015
Mailing address
608 HOWARD ST, COLUMBIA, SC 29205-3823
(803) 260-7775
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35653
SC
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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