Individual
MS. COURTNEY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1903 S LAKE DR, LEXINGTON, SC 29073-7760
(803) 356-1001
Mailing address
147 SAINT GEORGE RD, WEST COLUMBIA, SC 29170-2880
(803) 341-0244
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43613
SC
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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