Individual
MR. JOSEPH HAMILTON ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
1608 MAIN ST, CONWAY, SC 29526-3572
(843) 248-4700
(843) 488-6346
Mailing address
1608 MAIN ST, CONWAY, SC 29526-3572
(843) 687-2100
(843) 493-3005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4988
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
717868
—
SC
Enumeration date
06/20/2005
Last updated
06/22/2020
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