Provider Demographics
NPI:1386941375
Name:SMOAK, CARRIE WEST (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:WEST
Last Name:SMOAK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-2637
Mailing Address - Country:US
Mailing Address - Phone:803-957-3071
Mailing Address - Fax:803-957-0789
Practice Address - Street 1:423 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-2637
Practice Address - Country:US
Practice Address - Phone:803-957-3071
Practice Address - Fax:803-957-0789
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC01109183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist