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: |