Individual provider · Type 1 NPI
Charles Russell Jaco, RPH
Pharmacist · Fort Mill, SC
Practice location
510 Botley Ct Apt 306
Fort Mill, SC 29708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 12969 (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…
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About NPI 1992001267
Charles Russell Jaco, RPH's National Provider Identifier is 1992001267, issued on Feb 4, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fort Mill, SC. The record was last updated on Feb 4, 2011.