Individual
JONATHAN KIRBY LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2401 AUGUSTA RD, WEST COLUMBIA, SC 29169-4543
(803) 791-8114
Mailing address
2401 AUGUSTA RD, WEST COLUMBIA, SC 29169-4543
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
27422
NC
183500000X
Pharmacist
Primary
37222
SC
Other
Enumeration date
11/26/2017
Last updated
11/26/2017
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