Individual
JAN ANDRE GUEVARRA ENABORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5608 SUNSET BLVD, LEXINGTON, SC 29072-2728
(803) 957-5322
Mailing address
5608 SUNSET BLVD, LEXINGTON, SC 29072-2728
(803) 957-5322
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37096
SC
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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