Individual
HEATHER PATTERSON KNITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10204 TWO NOTCH RD, COLUMBIA, SC 29229-4386
(803) 788-0951
Mailing address
10204 TWO NOTCH RD, COLUMBIA, SC 29229-4386
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14190
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14190
SC BOP LICENSE
SC
Enumeration date
08/07/2017
Last updated
08/07/2017
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