Individual
AMELIA MILEJCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
40 BALDWIN AVE, LUGOFF, SC 29078-9406
(803) 438-5537
Mailing address
40 BALDWIN AVE, LUGOFF, SC 29078-9406
(803) 438-5537
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
36819
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36819
SOUTH CAROLINA BOARD OF PHARMACY
SC
Enumeration date
08/23/2016
Last updated
08/23/2016
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