Individual
MR. JERRY ALTON TUCKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3050 ASHLEY TOWN CENTER DR, CHARLESTON, SC 29414-5664
(843) 460-2002
(843) 460-2020
Mailing address
1505 CRESCENT MOON CV, HANAHAN, SC 29410-8579
(843) 906-6080
(843) 460-2020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9166
SC
Other
Enumeration date
10/01/2011
Last updated
10/01/2011
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