Individual
MRS. JAQUELINE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
2566 ASHLEY RIVER RD, CHARLESTON, SC 29414-4605
(843) 571-6567
Mailing address
1000 BONIETA HARROLD DR, APT 11102, CHARLESTON, SC 29414-5157
(843) 571-6567
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36206
SC
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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