Individual
JENNIFER T AVESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
601 HIGHWAY 17 N, SURFSIDE BEACH, SC 29575-6024
(843) 238-5628
Mailing address
1512 HOLLY DR, UNIT 104, NORTH MYRTLE BEACH, SC 29582-4089
(804) 400-3843
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202012200
VA
183500000X
Pharmacist
Primary
13536
SC
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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