Provider Demographics
NPI:1437456944
Name:HANCOCK, JEFFREY ROBERT (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:ROBERT
Last Name:HANCOCK
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 1:1005 S GOVERNOR WILLIAMS HWY
Mailing Address - Street 2:
Mailing Address - City:DARLINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29532-5657
Mailing Address - Country:US
Mailing Address - Phone:843-393-2679
Mailing Address - Fax:843-393-7858
Practice Address - Street 1:1005 S GOVERNOR WILLIAMS HWY
Practice Address - Street 2:
Practice Address - City:DARLINGTON
Practice Address - State:SC
Practice Address - Zip Code:29532-5657
Practice Address - Country:US
Practice Address - Phone:843-393-2679
Practice Address - Fax:843-393-7858
Is Sole Proprietor?:No
Enumeration Date:2011-02-17
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist