Individual
JOHNNY JAY HORACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
723 BETHEL ST, CLOVER, SC 29710-1157
(803) 222-6060
Mailing address
2839 ARROWWOOD LN, ROCK HILL, SC 29732-8444
(803) 487-6824
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4891
SC
Other
Enumeration date
08/01/2010
Last updated
11/10/2022
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