Jason Basham
NPI #1194181669 in Conway, South Carolina
Provider Information
- NPI Number
- 1194181669
- Entity Type
- Individual
- Name
- Jason Basham
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jan 13, 2016
- Last Updated
- Jan 13, 2016
Practice Location
- Address
- 2219 MAIN ST
- City
- Conway
- State
- South Carolina
- ZIP Code
- 29526-3340
- Phone
- (843) 488-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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