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Individual

JERRY L SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
132 E MAIN ST, WESTMINSTER, SC 29693-1753
(864) 647-5941
(864) 647-2906
Mailing address
319 ANDERSON AVE, WESTMINSTER, SC 29693-1407
(864) 647-5941
(864) 647-2906

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
004163
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004163
PHARMACIST LICENSE NUMBER
SC
Enumeration date
02/07/2007
Last updated
07/17/2023
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