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NPI Code Detail

MEDICARE: DANIELLE MARIE ANDREASEN PHARMD

MEDICARE: DANIELLE MARIE ANDREASEN PHARMD
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
1183500000XPharmacist12699SC

General Provider Information

NPI Number : 1508161415
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE MARIE ANDREASEN PHARMD
Provider Business Mailing Address
First Line : 7697 CHARLOTTE HWY
Second Line :
City : INDIAN LAND
State : SC
Zip : 29707-9653
Country : US
Telephone Number : 803-396-1525
Fax Number : 803-396-1530
Provider Business Practice Location Address
First Line : 7697 CHARLOTTE HWY
Second Line :
City : INDIAN LAND
State : SC
Zip : 29707-9653
Country : US
Telephone Number : 803-396-1525
Fax Number : 803-396-1530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2011
Last Update Date : 01/24/2011

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