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Individual

HOLLY WILLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
305 COMMERCE DR, MULLINS, SC 29574-6241
(843) 423-7510
(843) 423-9242
Mailing address
1772 BARNHILL RD, GALIVANTS FERRY, SC 29544-7220

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12609
SC

Other

Enumeration date
04/15/2014
Last updated
04/15/2014
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