Individual
DR. EVER JACK FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
930 NE MAIN ST, SIMPSONVILLE, SC 29681-2010
(864) 963-2573
Mailing address
930 NE MAIN ST, SIMPSONVILLE, SC 29681-2010
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37295
SC
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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