Individual
DR. KYLIE MICHELLE WEAVER
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
1137 FORT CONGAREE TRL APT 1910, CAYCE, SC 29033-3737
(704) 975-8766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42074
SC
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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