Individual
MRS. MARY JO JACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-7617
Mailing address
2820 WATERPOINTE CIR, MT PLEASANT, SC 29466-6733
(843) 856-0309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7782
SC
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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