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Mr. Walter Gerald Ellisor, RPH
Pharmacist in West Columbia, South Carolina
NPI 1740494095

Walter Gerald Ellisor is a Pharmacist based in West Columbia, SC. Walter Gerald Ellisor practices in West Columbia, SC and has the professional credentials of RPH. The NPI Number for Walter Gerald Ellisor is 1740494095 and holds a License No. 003755 (South Carolina).

The current practice location address for Walter Gerald Ellisor is 101 Professional Ave, West Columbia, SC and can be reached out via phone at 803-794-6440 and via fax at 803-739-1420.

Location: 101 Professional Ave, West Columbia, SC, 29169-4711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740494095
Provider Name
Walter Gerald Ellisor
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
101 Professional Ave, West Columbia, SC, 29169-4711
Phone Number
803-794-6440
Fax Number
803-739-1420
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003755 01 SC STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
101 Professional Ave
City
West Columbia
State
South Carolina
Zip
29169-4711
Phone Number
803-794-6440
Fax Number
803-739-1420
person
Provider Business Mailing Address Details
Address
101 Professional Ave
City
West Columbia
State
South Carolina
Zip
29169-4711
Phone Number
803-794-6440
Fax Number
803-739-1420
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
003755 (South Carolina)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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