Provider Demographics
NPI:1780003095
Name:MADDEN, GRIFFETH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GRIFFETH
Middle Name:
Last Name:MADDEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 BENTON RD
Mailing Address - Street 2:
Mailing Address - City:TRAVELERS REST
Mailing Address - State:SC
Mailing Address - Zip Code:29690-2168
Mailing Address - Country:US
Mailing Address - Phone:864-834-9224
Mailing Address - Fax:834-834-9614
Practice Address - Street 1:9 BENTON RD
Practice Address - Street 2:
Practice Address - City:TRAVELERS REST
Practice Address - State:SC
Practice Address - Zip Code:29690-2168
Practice Address - Country:US
Practice Address - Phone:864-834-9224
Practice Address - Fax:834-834-9614
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12334183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist