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Individual

JACOB ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
356 LAKE MURRAY BLVD APT 842, IRMO, SC 29063-7660

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
66693
TX

Other

Enumeration date
07/17/2020
Last updated
07/17/2020
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