Individual
ERIC WANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., R.PH.
Contact information
Practice address
125 PARK PLACE CT, LEXINGTON, SC 29072-6690
(803) 808-0688
(803) 808-0698
Mailing address
125 PARK PLACE CT, LEXINGTON, SC 29072-6690
(803) 808-0688
(803) 808-0698
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11930
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11930
SC BOARD OF PHARMACY - PHARMACIST LICENSE
SC
Enumeration date
08/31/2015
Last updated
08/31/2015
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