Provider Demographics
NPI:1851710941
Name:KING, LINDA C (BS IN PHARMACY)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:C
Last Name:KING
Suffix:
Gender:F
Credentials:BS IN PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29550-0705
Mailing Address - Country:US
Mailing Address - Phone:843-332-8113
Mailing Address - Fax:843-332-8113
Practice Address - Street 1:1150 S 4TH ST
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29550-0705
Practice Address - Country:US
Practice Address - Phone:843-332-8113
Practice Address - Fax:843-332-8113
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9075183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist