Individual
JASON CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
2908 EMANUEL CHURCH RD, WEST COLUMBIA, SC 29170-3010
(803) 996-3625
Mailing address
151 GREENSIDE DR, LEXINGTON, SC 29072-8215
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36753
SC
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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