Individual
EMILY LYNN VANDIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
111 CORPORATE DR, SPARTANBURG, SC 29303-5040
(855) 224-0894
Mailing address
111 CORPORATE DR, SPARTANBURG, SC 29303-5040
(855) 224-0894
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43071
SC
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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