Individual
DR. AMANDA ANDREWS CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
4577 MAIN ST, SHALLOTTE, NC 28470-4447
(910) 755-5959
(910) 755-5956
Mailing address
4577 MAIN ST, SHALLOTTE, NC 28470-4447
(910) 755-5959
(910) 755-5956
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19751
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105549
—
NC
Enumeration date
08/04/2010
Last updated
08/04/2010
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