Individual
DR. JONATHAN YOUNG CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
11211 ASHEVILLE HWY, INMAN, SC 29349-8951
(864) 472-2831
Mailing address
11211 ASHEVILLE HWY, INMAN, SC 29349-8951
(864) 472-2831
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43751
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43751
SOUTH CAROLINA BOARD OF PHARMACY
SC
Enumeration date
12/27/2022
Last updated
12/27/2022
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