Individual
MR. JERRY STEWART STODDARD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
224 EAST BUTLER ROAD, MAULDIN, SC 29662
(864) 234-1282
Mailing address
224 EAST BUTLER ROAD, MAULDIN, SC 29662
(864) 234-1282
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
SC5414
SC
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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