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Individual

DR. LARRY EDWARD JONES JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
175 FORUM DR, COLUMBIA, SC 29229-7938
(803) 419-3664
Mailing address
116 GALLIVAN DR, COLUMBIA, SC 29229-7747
(803) 361-1924

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35503
SC

Other

Enumeration date
08/04/2014
Last updated
08/04/2014
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