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Individual

JENNIFER BURGESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1330 DUTCH FORK RD, IRMO, SC 29063-8825
(803) 749-1666
Mailing address
322 WINDWARD POINT RD, COLUMBIA, SC 29212-8405

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36261
SC

Other

Enumeration date
09/01/2015
Last updated
09/01/2015
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