Individual
JESSICA LAUREN GASKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1300 LONG GROVE DR, T-1529, MT PLEASANT, SC 29464-9462
(843) 388-8769
Mailing address
1300 LONG GROVE DR, T-1529, MT PLEASANT, SC 29464-9462
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13521
SC
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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