Healthcare Provider Details

I. General information

NPI: 1285866236
Provider Name (Legal Business Name): AMY ELLIOTT EDWARDS PHARM. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2009
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1028 ROBERTS BRANCH PKWY
COLUMBIA SC
29203-9143
US

IV. Provider business mailing address

1028 ROBERTS BRANCH PKWY
COLUMBIA SC
29203-9143
US

V. Phone/Fax

Practice location:
  • Phone: 803-234-7150
  • Fax: 803-234-2212
Mailing address:
  • Phone: 803-234-7150
  • Fax: 803-234-2212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number9808
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: