Individual
JORDAN PRIVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2418 AUGUSTA HWY, LEXINGTON, SC 29072-2216
(803) 358-8210
Mailing address
134 HALLMARK DR, LEXINGTON, SC 29072-9744
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43636
SC
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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