Individual
AZEANGALA ATEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(803) 434-6421
Mailing address
1028 HEART PINE DR, BLYTHEWOOD, SC 29016-7321
(240) 898-5849
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43347
SC
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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