MEDICARE: DR. CANDACE M ANDREWS 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
1	183500000X	Pharmacist	21914	NC

General Provider Information

NPI Number	:	1538444021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CANDACE M ANDREWS PHARMD

Provider Business Mailing Address
First Line	:	125 W JONES ST
Second Line	:
City	:	TRENTON
State	:	NC
Zip	:	28585-7599
Country	:	US
Telephone Number	:	252-448-2901
Fax Number	:	252-448-1100

Provider Business Practice Location Address
First Line	:	125 W JONES ST
Second Line	:
City	:	TRENTON
State	:	NC
Zip	:	28585-7599
Country	:	US
Telephone Number	:	252-448-2901
Fax Number	:	252-448-1100

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2011
Last Update Date	:	10/30/2014

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