Individual
CHARLES GERARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
135 RUTLEDGE AVE RM 106, CHARLESTON, SC 29425-8903
(843) 876-0259
Mailing address
135 RUTLEDGE AVE ROOM 106, CHARLESTON, SC 29425
(843) 876-0259
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6209
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6209
SC STATE LISCENSE NUMBER
—
Enumeration date
12/05/2012
Last updated
12/05/2012
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