IndividualActive
Jordan Blackstone, PHARMD
NPI 1689404089 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Moncks Corner, SC
Provider details
- NPI number
- 1689404089
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 60276 (SC)
Mailing address
105 Lakelyn Rd
Moncks Corner, SC 29461-8373
Registry dates
- Enumerated
- 2024-08-02
- Last updated
- 2024-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.