Individual
KYLA ALENA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3055 BROAD RIVER RD, COLUMBIA, SC 29210-5919
(843) 685-2730
Mailing address
3055 BROAD RIVER RD, COLUMBIA, SC 29210-5919
(843) 685-2730
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60467
SC
Other
Enumeration date
01/01/2025
Last updated
01/01/2025
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