Individual
DR. JARED SAMUEL DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3725 RIVERS AVE, SUITE 2, N CHARLESTON, SC 29405-7038
(843) 745-8655
Mailing address
415 PARKDALE DR, APT 15D, CHARLESTON, SC 29414-4910
(864) 353-3943
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13529
SC
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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