Individual
DR. JASON BLAKE HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
599 RICE AVE, UNION, SC 29379-1840
(864) 427-7668
(864) 427-1181
Mailing address
1800 KEATS DR APT 1832, SPARTANBURG, SC 29301-4989
(704) 493-4495
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37988
SC
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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