Individual
DR. AMANDA WITBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
510 TOM HALL ST, FORT MILL, SC 29715-2035
(803) 547-5586
Mailing address
510 TOM HALL ST, FORT MILL, SC 29715-2035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43552
SC
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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