Individual
AMANDA WAGNER EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
200 PEACHWOOD CENTRE DR, SPARTANBURG, SC 29301-2586
(803) 318-5706
(864) 595-6184
Mailing address
200 PEACHWOOD CENTRE DR, SPARTANBURG, SC 29301-2586
(803) 318-5706
(864) 595-2661
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11405
SC
Other
Enumeration date
03/21/2007
Last updated
10/30/2020
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