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1073946968
JORDAN WALTER
CHARLESTON, SC
NPI
1073946968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: SC 14292)
Enumeration Date
2013-08-14
Last Update Date
2013-08-14
Business Address
-- JORDAN WALTER
907 FOLLY RD
CHARLESTON, SC 29412-3919
Phone number: 843-795-5452
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Mailing Address
-- JORDAN WALTER
PO BOX 891
FOLLY BEACH, SC 29439-0891
Phone number: 843-991-4988
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