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Individual

DR. AMY M VANDENBERG

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
67 PRESIDENT ST, IOP 3 NORTH ROOM 339, CHARLESTON, SC 29403-5712
(843) 792-0179
Mailing address
425 HARRODS LN, CHARLESTON, SC 29412-4355
(843) 792-0179

Taxonomy

Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
9958
SC

Other

Enumeration date
10/31/2005
Last updated
07/08/2007
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