Provider Demographics
NPI:1336289628
Name:SMITH, WHITNEY E (CPHT)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:E
Last Name:SMITH
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 ANDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:SC
Mailing Address - Zip Code:29693-1407
Mailing Address - Country:US
Mailing Address - Phone:864-647-9661
Mailing Address - Fax:
Practice Address - Street 1:132 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:SC
Practice Address - Zip Code:29693-1753
Practice Address - Country:US
Practice Address - Phone:864-647-5941
Practice Address - Fax:864-647-2906
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20793183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC20793OtherPHARM TECH REGISTRATION