Individual
DR. JONATHAN RAY KULCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2907 HIGHWAY 160 W, FORT MILL, SC 29708-8491
(803) 548-6495
Mailing address
3285 RICHARDS XING, FORT MILL, SC 29708-8910
(843) 302-2210
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12280
SC
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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