Individual
AMY STANSELL TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
101 FOUNDERS BAY RD, MURRELLS INLET, SC 29576-8089
(843) 651-8863
Mailing address
208 GRAY MANS LOOP, PAWLEYS ISLAND, SC 29585-6635
(865) 591-5198
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12293
TN
183500000X
Pharmacist
Primary
42921
SC
Other
Enumeration date
01/18/2021
Last updated
11/21/2021
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