Individual
MR. GERALD ISREAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
210 BUCKTHORN CIR, ELGIN, SC 29045-8699
(803) 788-8940
(803) 788-8568
Mailing address
210 BUCKTHORN CIR, ELGIN, SC 29045-8699
(803) 788-8940
(803) 788-8568
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7027
SC
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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