Individual
KEITH MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
100 RIDGE MEDICAL PLAZA RD STE 101, EDGEFIELD, SC 29824-4556
(803) 637-5757
(803) 637-9996
Mailing address
100 RIDGE MEDICAL PLAZA RD STE 101, EDGEFIELD, SC 29824-4556
(803) 637-5757
(803) 637-9996
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
9414
SC
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
9414
SC
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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