Individual
JENNIFER MAUNEY CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7535 GARNERS FERRY RD, COLUMBIA, SC 29209-2666
(803) 776-6605
Mailing address
7535 GARNERS FERRY RD, COLUMBIA, SC 29209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12233
SC
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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