Most Relevant Information
Provider Data
NPI Number: | 1003538208 |
Provider Name: | AMANDA WITBECK RPH |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | 43552 |
Most Important Dates
Enumeration Date: | 09/14/2022 |
Last Updated: | 09/14/2022 |
Provider Practice Location
510 TOM HALL ST
FORT MILL
SC
297152035
Practice Location Phone/Fax
Phone: | 8035475586 |
Fax: |
Provider Mailing Location
510 TOM HALL ST
FORT MILL
SC
297152035
Provider Mailing Phone/Fax
Phone: | |
Fax: |