Individual
DOMINIC JOSEPH LEADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP452459
PA
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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