Provider Demographics
NPI:1902999527
Name:SMITH, JUDITH W (RPH)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:W
Last Name:SMITH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1941 SAVAGE RD. SUITE 300 E
Mailing Address - Street 2:CHARLESTON COUNTY HEALTH DEPT DHEC
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407
Mailing Address - Country:US
Mailing Address - Phone:843-724-5828
Mailing Address - Fax:843-724-5858
Practice Address - Street 1:1941 SAVAGE RD. SUITE 300 E
Practice Address - Street 2:CHARLESTON COUNTY HEALTH DEPT DHEC
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407
Practice Address - Country:US
Practice Address - Phone:843-724-5828
Practice Address - Fax:843-724-5858
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC4369183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist