Individual
DR. JONATHAN MADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2410 CHARLESTON HWY, CAYCE, SC 29033-1736
(321) 945-0541
Mailing address
2410 CHARLESTON HWY, CAYCE, SC 29033-1736
(803) 796-2586
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44152
SC
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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