Individual
MR. JACK T SKIPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R. PH
Contact information
Practice address
240 CHURCH ST, SUMTER, SC 29150-4256
(803) 778-5005
(803) 774-5004
Mailing address
240 CHURCH ST, SUMTER, SC 29150-4256
(803) 778-5005
(803) 774-5004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11280
NC
183500000X
Pharmacist
Primary
4476
SC
Other
Enumeration date
02/18/2010
Last updated
01/29/2016
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