Healthcare Provider Details

I. General information

NPI: 1255010344
Provider Name (Legal Business Name): AMBER LYNN GODWIN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMBER LYNN KEEFE PHARMD

II. Dates (important events)

Enumeration Date: 07/14/2023
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2791 DAVID H MCLEOD BLVD
FLORENCE SC
29501-4043
US

IV. Provider business mailing address

259 NEELY MATTHEWS RD
COWARD SC
29530-5111
US

V. Phone/Fax

Practice location:
  • Phone: 843-667-6891
  • Fax:
Mailing address:
  • Phone: 843-373-5582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number43966
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: