Individual
DAVID JERIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
5001 SOCASTEE BLVD, MYRTLE BEACH, SC 29588-7339
(843) 293-6066
(843) 293-6238
Mailing address
5232 MAIN ST, LORIS, SC 29569-2656
(843) 756-4150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03-3-18448
OH
183500000X
Pharmacist
15809
NV
183500000X
Pharmacist
Primary
35969
SC
Other
Enumeration date
10/20/2011
Last updated
06/23/2016
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