Individual provider · Type 1 NPI
Jack Edward Wilfong
Pharmacist · Myrtle Beach, SC
Practice location
9600 N Kings Hwy
Myrtle Beach, SC 29572-4006
Fax (843) 692-7221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 6772 (SC) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
Another provider at this address
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About NPI 1750667671
Jack Edward Wilfong's National Provider Identifier is 1750667671, issued on Oct 24, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Oct 24, 2011.