Individual
NATHAN DONOVAN BOYLSTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1532 LAKE MURRAY BLVD, COLUMBIA, SC 29212-8622
(803) 732-1975
Mailing address
1532 LAKE MURRAY BLVD, COLUMBIA, SC 29212-8622
(803) 732-1975
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3509
SC
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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