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General NPI Number Information
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NPI Number | 1558889436
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Entity Type | Individual
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Provider Name | AMBER LATSON PHARMD, RPH
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Gender | Female
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Dates
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Enumeration Date | 08/31/2017
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 655 FAIRVIEW RD STE C
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City | SIMPSONVILLE
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State | SC
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Zip | 29680-6777
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Country | US
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Telephone | 864-962-0251
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Fax |
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Provider Business Mailing Address
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Address Line | 9 GAMESFORD CT
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City | SIMPSONVILLE
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State | SC
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Zip | 29680-7424
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Country | US
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Telephone | 864-399-3770
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 37365
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License Number State | SC
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