Provider Demographics
NPI:1922357862
Name:GRIFFIN, REETA R (RPH)
Entity Type:Individual
Prefix:MRS
First Name:REETA
Middle Name:R
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 HIGHWAY 28 BYP
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29624-3009
Mailing Address - Country:US
Mailing Address - Phone:864-261-7453
Mailing Address - Fax:864-261-7518
Practice Address - Street 1:651 HIGHWAY 28 BYP
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29624-3009
Practice Address - Country:US
Practice Address - Phone:864-261-7453
Practice Address - Fax:864-261-7518
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC005394183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist