Individual
JORDAN CHIASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 755-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37253
SC
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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