Individual
DR. ANYANIME A EDEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3027 WADE HAMPTON BLVD, TAYLORS, SC 29687-2789
(864) 292-2014
(864) 292-8992
Mailing address
3027 WADE HAMPTON BLVD, TAYLORS, SC 29687-2789
(864) 292-2014
(864) 292-8992
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14337
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14337
PHARMACY LICENSE NUMBER
SC
Enumeration date
12/18/2014
Last updated
12/18/2014
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