Individual
TARA R HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4467 DEVINE ST, COLUMBIA, SC 29205-3611
(803) 787-2527
(803) 787-4158
Mailing address
4467 DEVINE ST, COLUMBIA, SC 29205-3611
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11862
SC
Other
Enumeration date
02/26/2011
Last updated
02/26/2011
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