Individual
JEJUAN GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
592 LANCASTER HWY, CHESTER, SC 29706-1658
(704) 962-9136
Mailing address
4147 SUNSET RDG, ROCK HILL, SC 29732-0224
(704) 962-9136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11985
SC
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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