Individual
KIRK KELLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 TOWNE DR, BLUFFTON, SC 29910-4203
(843) 815-7070
(843) 815-7078
Mailing address
131 HONESTY LN, BLUFFTON, SC 29909-7119
(859) 749-2447
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36923
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36923
PHARMACIST LICENSE
SC
Enumeration date
10/29/2018
Last updated
10/29/2018
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