MEDICARE: DR. AMBER LATSON PHARMD, RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	37365	SC

General Provider Information

NPI Number	:	1558889436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMBER LATSON PHARMD, RPH

Provider Business Mailing Address
First Line	:	9 GAMESFORD CT
Second Line	:
City	:	SIMPSONVILLE
State	:	SC
Zip	:	29680-7424
Country	:	US
Telephone Number	:	864-399-3770
Fax Number	:

Provider Business Practice Location Address
First Line	:	655 FAIRVIEW RD STE C
Second Line	:
City	:	SIMPSONVILLE
State	:	SC
Zip	:	29680-6777
Country	:	US
Telephone Number	:	864-962-0251
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2017
Last Update Date	:	12/08/2025

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