Individual
AMY EVELYN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1856 S LAKE DR, LEXINGTON, SC 29073-7225
(803) 399-7701
Mailing address
1856 S LAKE DR, LEXINGTON, SC 29073-7225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37181
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37181
PHARMACIST LICENSE
SC
Enumeration date
07/12/2017
Last updated
07/12/2017
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