JENNIFER T AVESON

SURFSIDE BEACH, SC
NPI1497004915
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: SC  13536)
Additional Taxonomies183500000X Pharmacist
(Licence: VA  0202012200)
Enumeration Date2012-08-30
Last Update Date2012-08-30
Business Address
-- JENNIFER T AVESON RPh
601 HIGHWAY 17 N
SURFSIDE BEACH, SC 29575-6024
Phone number: 843-238-5628
Mailing Address
-- JENNIFER T AVESON RPh
1512 HOLLY DR UNIT 104
NORTH MYRTLE BEACH, SC 29582-4089
Phone number: 804-400-3843