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Individual

JACOB SHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
733 FASHION DRIVE, COLUMBIA, SC 29229
(803) 223-0091
(803) 223-0977
Mailing address
733 FASHION DRIVE, COLUMBIA, SC 29229
(803) 223-0091
(803) 223-0977

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
22044
IA
183500000X
Pharmacist
Primary
36370
SC

Other

Enumeration date
06/14/2016
Last updated
11/19/2016
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