Individual
JONATHAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4467 DEVINE ST, COLUMBIA, SC 29205-3611
(803) 787-2527
Mailing address
604 WILMUTH CT, WEST COLUMBIA, SC 29170-2483
(803) 205-3199
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60509
SC
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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