Provider Demographics
NPI:1457600264
Name:MCWHORTER, RONDA SIMS (RPH)
Entity type:Individual
Prefix:MRS
First Name:RONDA
Middle Name:SIMS
Last Name:MCWHORTER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:BOX 344054
Mailing Address - Street 2:CLEMSON UNIVERSITY
Mailing Address - City:CLEMSON
Mailing Address - State:SC
Mailing Address - Zip Code:29634-4054
Mailing Address - Country:US
Mailing Address - Phone:864-656-3562
Mailing Address - Fax:864-656-2500
Practice Address - Street 1:735 MCMILLAN RD
Practice Address - Street 2:CLEMSON UNIVERSITY
Practice Address - City:CLEMSON
Practice Address - State:SC
Practice Address - Zip Code:29634-4054
Practice Address - Country:US
Practice Address - Phone:864-656-3562
Practice Address - Fax:864-656-2500
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9605183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist