Individual
DR. JORDAN A DIMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2401 SUNSET BLVD, WEST COLUMBIA, SC 29169-4717
(803) 796-8126
Mailing address
105 AMBERWOOD CIR, IRMO, SC 29063-7943
(803) 528-3054
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42496
SC
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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