Individual
MR. DAVID WAYNE ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
129 N WASHINGTON ST, SUMTER, SC 29150-4949
(803) 774-8871
Mailing address
2306 PARK ST, COLUMBIA, SC 29201-2146
(803) 255-0021
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011157
SC
183500000X
Pharmacist
10659
CO
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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