Individual
ELITA CONALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1145 INABINET DR, SUMTER, SC 29154-9504
(803) 481-3075
Mailing address
1145 INABINET DR, SUMTER, SC 29154-9504
(803) 481-3075
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP-041915L
PA
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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