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NPI Code Detail

MEDICARE: ANNA MARIE CHRISTLEY RPH

MEDICARE: ANNA MARIE CHRISTLEY RPH
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
1183500000XPharmacist0010279SC

General Provider Information

NPI Number : 1689971012
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA MARIE CHRISTLEY RPH
Provider Business Mailing Address
First Line : 1903 S LAKE DR
Second Line :
City : LEXINGTON
State : SC
Zip : 29073-7760
Country : US
Telephone Number : 803-356-1001
Fax Number : 803-356-1006
Provider Business Practice Location Address
First Line : 1903 S LAKE DR
Second Line :
City : LEXINGTON
State : SC
Zip : 29073-7760
Country : US
Telephone Number : 803-356-1001
Fax Number : 803-356-1006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2011
Last Update Date : 02/21/2011

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Directions to “ ANNA MARIE CHRISTLEY RPH” Practice Location

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