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1154528701
MICHAEL R ROBERTSON
IRMO, SC
NPI
1154528701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: SC 4979)
Enumeration Date
2007-06-28
Last Update Date
2007-07-08
Business Address
-- MICHAEL R ROBERTSON R.Ph.
7467 SAINT ANDREWS RD STE 6
IRMO, SC 29063-2876
Phone number: 803-732-0426
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Mailing Address
-- MICHAEL R ROBERTSON R.Ph.
509 WINDING WAY
COLUMBIA, SC 29212-1354
Phone number: 803-781-5296
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