Individual
MR. JOHN MATHIS FRADY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
201 W SAINT JOHN ST, SPARTANBURG, SC 29306-2336
(864) 253-8600
(864) 253-8690
Mailing address
PO BOX 817, 159 KASLER ROAD, COWPENS, SC 29330-0817
(864) 463-6947
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3713
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3713
PHARMACY LICENSE NUMBER
SC
Enumeration date
08/18/2005
Last updated
07/08/2007
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