Individual
MR. JERRY CALVIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2422 WADE HAMPTON BLVD, GREENVILLE, SC 29615-1146
(864) 244-8066
(864) 244-5443
Mailing address
2422 WADE HAMPTON BLVD, GREENVILLE, SC 29615-1146
(864) 244-8066
(864) 244-5443
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4162
SC
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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