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Individual

MR. FRED SMITH WINSTEAD JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH.

Contact information

Practice address
413 VARDRY ST. CORNER DRUGS INC., SUITE 1-B, GREENVILLE, SC 29601-3331
(864) 271-4932
(864) 233-6064
Mailing address
413 VARDRY ST., SUITE 1-B, GREENVILLE, SC 29601-3331
(864) 271-4932
(864) 233-6064

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
005019
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
724192
SC
Enumeration date
01/08/2007
Last updated
07/08/2007
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