Provider Demographics
NPI:1033542337
Name:WOODRUFF, FRANK BUIST JR
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:BUIST
Last Name:WOODRUFF
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:SKIPPER
Other - Middle Name:
Other - Last Name:WOODRUFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:903 WATKINS RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29617-1319
Mailing Address - Country:US
Mailing Address - Phone:864-246-6927
Mailing Address - Fax:
Practice Address - Street 1:2700 GENTRY MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:PICKENS
Practice Address - State:SC
Practice Address - Zip Code:29671-9412
Practice Address - Country:US
Practice Address - Phone:864-878-5332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-10
Last Update Date:2013-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4361183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist