Individual
ANNA MARIE QUATTLEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2196 E MAIN ST, DUNCAN, SC 29334-9456
(864) 486-1779
Mailing address
2196 E MAIN ST, DUNCAN, SC 29334-9456
(864) 486-1779
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36797
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36797
PHARMACIST LICENSE
SC
Enumeration date
08/19/2016
Last updated
09/29/2020
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