Provider Demographics
NPI:1609915404
Name:CLINKSCALES, HENRY COX (RPH)
Entity Type:Individual
Prefix:MR
First Name:HENRY
Middle Name:COX
Last Name:CLINKSCALES
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 ANDERSON ST
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:SC
Mailing Address - Zip Code:29627-2100
Mailing Address - Country:US
Mailing Address - Phone:864-338-8217
Mailing Address - Fax:864-338-6935
Practice Address - Street 1:727 ANDERSON ST
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:SC
Practice Address - Zip Code:29627-2100
Practice Address - Country:US
Practice Address - Phone:864-338-8217
Practice Address - Fax:864-338-6935
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6568183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist