Individual
JEREMY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
432 SANDERS FARM LN, CHARLESTON, SC 29492-7710
(843) 871-0801
Mailing address
432 SANDERS FARM LN, CHARLESTON, SC 29492-7710
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14048
SC
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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