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Individual

JUSTIN JENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3027 WADE HAMPTON BLVD, TAYLORS, SC 29687
(864) 292-2014
(864) 292-8992
Mailing address
3027 WADE HAMPTON BLVD, TAYLORS, SC 29687
(864) 292-2014
(864) 292-8992

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35796
SC

Other

Enumeration date
09/11/2014
Last updated
11/19/2014
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