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1679678221
DALLAS N EDWARDS
COLUMBIA, SC
NPI
1679678221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: SC 07424)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
Mr. DALLAS N EDWARDS Rph
4500 STUART ST ATTN: MCXL-PQ (CREDENTIALS)
COLUMBIA, SC 29207-5700
Phone number: 803-751-2618
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Mailing Address
Mr. DALLAS N EDWARDS Rph
4500 STUART ST ATTN: MCXL-PQ (CREDENTIALS)
COLUMBIA, SC 29207-5700
Phone number: 803-751-2618
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