Individual
JEFFREY STEPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6950 S. PINE STREET, PACOLET, SC 29372
(864) 474-1145
(864) 474-9973
Mailing address
PO BOX 610, PACOLET, SC 29372-0610
(864) 474-1145
(864) 474-9973
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6200
SC
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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