Individual
MR. DALLAS N EDWARDS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4500 STUART ST, ATTN: MCXL-PQ (CREDENTIALS), COLUMBIA, SC 29207-5700
(803) 751-2618
(803) 751-2689
Mailing address
4500 STUART ST, ATTN: MCXL-PQ (CREDENTIALS), COLUMBIA, SC 29207-5700
(803) 751-2618
(803) 751-2689
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
07424
SC
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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