Individual
RAYMOND TIMOTHY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3907 GRANDVIEW DR STE D, SIMPSONVILLE, SC 29680-3168
(864) 757-8335
Mailing address
3907 GRANDVIEW DR STE D, SIMPSONVILLE, SC 29680-3168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37290
SC
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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