Individual
JOHNATHAN BRETT CRISP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, MS
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-7032
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-7032
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18926
NC
Other
Enumeration date
09/06/2016
Last updated
12/06/2016
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