Individual
DEBRA LYNN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1610 CHURCH ST STE U, CONWAY, SC 29526-2932
(843) 248-2411
Mailing address
1610 CHURCH ST STE U, CONWAY, SC 29526-2932
(843) 248-2411
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7457
SC
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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