JACOB SHELL

COLUMBIA, SC
NPI1790135416
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: SC  36370)
Additional Taxonomies183500000X Pharmacist
(Licence: IA  22044)
Enumeration Date2016-06-14
Last Update Date2016-11-19
Business Address
-- JACOB SHELL PharmD
733 FASHION DRIVE
COLUMBIA, SC 29229
Phone number: 803-223-0091
Mailing Address
-- JACOB SHELL PharmD
733 FASHION DRIVE
COLUMBIA, SC 29229
Phone number: 803-223-0091