Henry Cox Clinkscales, R.PH.

Individual provider Active NPI Pharmacist · Belton, SC

NPI 1609915404 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1609915404
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
6568 (SC)
Practice address
727 Anderson St
Belton, SC 29627-2100
Phone
(864) 338-8217
Fax
(864) 338-6935
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6568 SC Yes

Addresses

Primary practice location

727 Anderson St
Belton, SC 29627-2100

Mailing address

727 Anderson St
Belton, SC 29627-2100
Phone (864) 338-8217

Other providers in Belton, SC

All providers in Belton, SC · Pharmacist in South Carolina

Sources for this page

Verify at the official NPI Registry.