Individual
SHANNON LOUISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1014 MONTAGUE AVE, GREENWOOD, SC 29649-1450
(864) 223-6904
Mailing address
577 MAIN ST, SILVERSTREET, SC 29145-9119
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36948
SC
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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