Basic Information
| Provider Information | |||||||||
| NPI: | 1295047884 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOUSER | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | N | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PHARM.D., BCPP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 751 JACOBS MILL POND RD | ||||||||
| Address2: | UNIT 514 | ||||||||
| City: | ELGIN | ||||||||
| State: | SC | ||||||||
| PostalCode: | 290458269 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4409158989 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 6439 GARNERS FERRY RD | ||||||||
| Address2: | |||||||||
| City: | COLUMBIA | ||||||||
| State: | SC | ||||||||
| PostalCode: | 292091638 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8037764000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/12/2010 | ||||||||
| LastUpdateDate: | 06/17/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835P1300X | RPH.03230082-2 | OH | Y | Pharmacy Service Providers | Pharmacist | Psychiatric |
No ID Information.