Individual
DR. JACOB MICHAEL SPROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1810 N HIGHWAY 17, MOUNT PLEASANT, SC 29464-3309
(843) 388-2585
Mailing address
1810 N HIGHWAY 17, MOUNT PLEASANT, SC 29464-3309
(843) 388-2585
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14234
SC
Other
Enumeration date
07/13/2013
Last updated
07/13/2013
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