Individual
JESSICA PAMPALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
175 SC-274, LAKE WYLIE, SC 29710
(803) 619-7028
Mailing address
9641 FALLING STREAM DR, CHARLOTTE, NC 28214-1473
(704) 649-6383
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28076
NC
183500000X
Pharmacist
Primary
37781
SC
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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