Individual
DR. JACOB DAVIS KYZER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
847 HWY 378 W, LEXINGTON, SC 29072
(803) 996-6171
(803) 996-6180
Mailing address
847 HWY 378 W, LEXINGTON, SC 29072
(803) 996-6171
(803) 996-6180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011806
SC
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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