Individual
MRS. JENNIFER LYNN MIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH.
Contact information
Practice address
109 BEE ST # 119, CHARLESTON, SC 29401-5703
(843) 789-7972
(843) 805-5965
Mailing address
4143 COBBLER DR, MEGGETT, SC 29449-6066
(843) 889-2836
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
007452
SC
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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