Individual
AMANDA JOHNSON WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 W MANNING ST, CHESNEE, SC 29323-1538
(864) 461-3123
(864) 703-2943
Mailing address
109 W MANNING ST, CHESNEE, SC 29323-1538
(864) 461-3123
(864) 703-2943
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7581
SC
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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