Provider Demographics
NPI:1548645765
Name:SMITH, LINDA FASIG (PHARMD RPH)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:FASIG
Last Name:SMITH
Suffix:
Gender:F
Credentials:PHARMD RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 JACOBS HWY
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:SC
Mailing Address - Zip Code:29325-7276
Mailing Address - Country:US
Mailing Address - Phone:864-833-5000
Mailing Address - Fax:
Practice Address - Street 1:194 JACOBS HWY
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:SC
Practice Address - Zip Code:29325-7276
Practice Address - Country:US
Practice Address - Phone:864-833-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-29
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC36146183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist