Organization
CVS/PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID OUELLET PHARMD (PHARMACIST)
(803) 479-8419
Entity
Organization
Contact information
Practice address
4310 HARD SCRABBLE RD, COLUMBIA, SC 29229-9423
(803) 865-6682
Mailing address
4001 CORONADO DR, COLUMBIA, SC 29203-5409
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
35583
SC
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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