Individual
ANDREW DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 AUGUSTA ST, GREENVILLE, SC 29605-2925
(864) 301-8441
Mailing address
401 N ALMOND DR, SIMPSONVILLE, SC 29681-3407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43179
SC
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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