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NPI Code Detail

MEDICARE: DR. JON-MIKEL CHRISTOPHER BYRNE PHARM. D.

MEDICARE: DR. JON-MIKEL CHRISTOPHER BYRNE PHARM. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist11536SC

General Provider Information

NPI Number : 1225386022
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JON-MIKEL CHRISTOPHER BYRNE PHARM. D.
Provider Business Mailing Address
First Line : 1509 ROPER MOUNTAIN RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-5601
Country : US
Telephone Number : 864-213-1082
Fax Number : 864-289-0773
Provider Business Practice Location Address
First Line : 1509 ROPER MOUNTAIN RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-5601
Country : US
Telephone Number : 864-213-1082
Fax Number : 864-289-0773
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2012
Last Update Date : 08/27/2012

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