Individual
MICHAEL R KOLBICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 MAIN ST, WEST COLUMBIA, SC 29170-4020
(803) 955-2302
Mailing address
702 MAIN ST, WEST COLUMBIA, SC 29170-4020
(803) 955-2302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH12632
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH12632
NPI NUMBER
SC
Enumeration date
08/30/2010
Last updated
08/30/2010
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