Individual
JALEEL DEVANN JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
555 ROBERTSON BLVD, WALTERBORO, SC 29488-2787
(843) 549-1546
Mailing address
3610 WIRE RD, SAINT GEORGE, SC 29477-6646
(843) 303-6641
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13859
SC
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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