Individual
AMANDA PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
101 FETLOCK DR, MYRTLE BEACH, SC 29588-9042
(843) 236-2600
Mailing address
101 FETLOCK DR, MYRTLE BEACH, SC 29588-9042
(843) 236-2600
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35774
SC
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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