Individual
NICK SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1905 E MAIN ST, SPARTANBURG, SC 29307-2308
(864) 253-1833
(864) 253-1828
Mailing address
1905 E MAIN ST, SPARTANBURG, SC 29307-2308
(864) 253-1833
(864) 253-1828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5544
SC
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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