Individual
JACOB FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5215 ASHLEY PHOSPHATE RD, NORTH CHARLESTON, SC 29418-2823
(843) 767-4500
Mailing address
668 FIRE TOWER RD, NEESES, SC 29107-9300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60204
SC
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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