Healthcare Provider Details

I. General information

NPI: 1548855752
Provider Name (Legal Business Name): KAYLA NAGY WELCH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2021
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6439 GARNERS FERRY RD
COLUMBIA SC
29209-1638
US

IV. Provider business mailing address

2209 CARDINGTON DR
COLUMBIA SC
29209-3246
US

V. Phone/Fax

Practice location:
  • Phone: 313-318-8305
  • Fax:
Mailing address:
  • Phone: 313-318-8305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03439950
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: