Individual
JILLIAN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1676 N HIGHWAY 17, MT PLEASANT, SC 29464-3310
(843) 884-8281
Mailing address
240 PENNBROOK LN, DALLAS, PA 18612-9097
(570) 406-1735
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26727
MD
183500000X
Pharmacist
43396
SC
Other
Enumeration date
10/10/2019
Last updated
06/24/2022
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