Provider Demographics
NPI:1225386022
Name:BYRNE, JON-MIKEL CHRISTOPHER (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JON-MIKEL
Middle Name:CHRISTOPHER
Last Name:BYRNE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 ROPER MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-5601
Mailing Address - Country:US
Mailing Address - Phone:864-213-1082
Mailing Address - Fax:864-289-0773
Practice Address - Street 1:1509 ROPER MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-5601
Practice Address - Country:US
Practice Address - Phone:864-213-1082
Practice Address - Fax:864-289-0773
Is Sole Proprietor?:No
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11536183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist