Individual
KEVIN TYLER COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4464 DEVINE ST, COLUMBIA, SC 29205-3605
(803) 738-1108
Mailing address
1100 ONTARIO DR, WEST COLUMBIA, SC 29169-6912
(803) 354-1511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37823
SC
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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