Healthcare Provider Details

I. General information

NPI: 1154874360
Provider Name (Legal Business Name): AMBER SWANN KORN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2016
Last Update Date: 07/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 FAIRVIEW RD
ASHEVILLE NC
28803-1011
US

IV. Provider business mailing address

407 FOXHOUND RD
SIMPSONVILLE SC
29680-6716
US

V. Phone/Fax

Practice location:
  • Phone: 828-298-3636
  • Fax:
Mailing address:
  • Phone: 828-545-2344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26296
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: