Individual
DR. JACQUELINE P PORTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D,RPH
Contact information
Practice address
1013 BROAD RIVER RD, COLUMBIA, SC 29210-3649
(803) 750-6930
(803) 750-7225
Mailing address
1013 BROAD RIVER RD, COLUMBIA, SC 29210-3649
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10482
SC
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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