Healthcare Provider Details

I. General information

NPI: 1588294102
Provider Name (Legal Business Name): YOLANDA D JAMISON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2020
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 8TH DIVISION RD BLDG 4500
COLUMBIA SC
29207-5700
US

IV. Provider business mailing address

4500 8TH DIVISION RD
COLUMBIA SC
29207-5700
US

V. Phone/Fax

Practice location:
  • Phone: 803-751-0372
  • Fax: 803-751-2343
Mailing address:
  • Phone: 803-751-0372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10799
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: