Individual
DR. BROCK JOHNDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
59 GEORGE ST, CHARLESTON, SC 29401-1422
(843) 720-8523
Mailing address
128 COLUMBUS ST APT 520, CHARLESTON, SC 29403-4876
(207) 341-6107
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43529
SC
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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