Individual
EVERETT-JACKSON THORNE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1326 N JEFFERIES BLVD, WALTERBORO, SC 29488-2733
(843) 549-6781
(843) 549-9642
Mailing address
PO BOX 766, FOLLY BEACH, SC 29439-0766
(843) 549-6781
(843) 549-9642
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11543
SC
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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