Individual
ANDREA JUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2571 FOREST DR, COLUMBIA, SC 29204-2029
(803) 254-2376
Mailing address
143 STONERIDGE DR, APT H11, COLUMBIA, SC 29210-8241
(803) 308-1403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35604
SC
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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