Individual
KAYLA JAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
860 FOLLY RD, CHARLESTON, SC 29412-3435
(843) 406-7567
Mailing address
3463 OLD POND RD, JOHNS ISLAND, SC 29455-3209
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PHT.29327
SC
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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