Jessica Puckett-beasley PHARMD

NPI 1669779682 - Pharmacist - 183500000X

NPI Details
NPI 1669779682
Gender Female
Enumeration Date 02/28/2011
Last Updated 02/28/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
107 WESTPARK BLVD
COLUMBIA SC, 29210-3871, US
Phone (803) 772-4809
Fax
Business Location
1116 SILVER POINT RD
CHAPIN SC, 29036-7903, US
Phone (843) 860-4493
Fax
Toxanomy
Taxonomy Code 183500000X
License State Georgia
License Number 018810
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According to our database, Dr. Jessica Puckett-beasley PHARMD NPI is 1669779682, taxonomy code is 183500000X and license number is 018810, license state is located at Georgia. Jessica Puckett-beasley PHARMD physically located at 107 Westpark Blvd, Columbia SC, 29210-3871. NPI Number Jessica Puckett-beasley PHARMD has the Individual type.

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1669779682 NPI number is provided on an as is basis without warranty of any kind. 1669779682 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Puckett-beasley PHARMD are for informational purposes only.