Individual
MRS. NANCY YVONNE SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1278 N LAFAYETTE DR, PHARMACY DEPT, SUMTER, SC 29150-2964
(803) 774-4500
(803) 774-4625
Mailing address
1278 N LAFAYETTE DR, PHARMACY DEPT, SUMTER, SC 29150-2964
(803) 774-4500
(803) 774-4625
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6717
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6717
PHARMACIST LICENSE
SC
Enumeration date
02/22/2010
Last updated
02/22/2010
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