WALTER GERALD ELLISOR

WEST COLUMBIA, SC
NPI1740494095
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: SC  003755)
Enumeration Date2007-05-09
Last Update Date2007-07-08
Business Address
Mr. WALTER GERALD ELLISOR RPH
101 PROFESSIONAL AVE
WEST COLUMBIA, SC 29169-4711
Phone number: 803-794-6440
Mailing Address
Mr. WALTER GERALD ELLISOR RPH
101 PROFESSIONAL AVE
WEST COLUMBIA, SC 29169-4711
Phone number: 803-794-6440
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