Ava Andrews, RPH

Individual provider Active NPI Pharmacist · Myrtle Beach, SC

NPI 1386020006 · NPPES record last updated Aug 4, 2015

Key facts

NPI
1386020006
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
36267 (SC)
Practice address
541 Seaboard St
Myrtle Beach, SC 29577-9733
Phone
(843) 445-7851
NPI assigned
Aug 4, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
36267SCMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 36267 SC Yes

Addresses

Primary practice location

541 Seaboard St
Myrtle Beach, SC 29577-9733

Mailing address

2111 Goose Bay Rd
Longs, SC 29568-6529
Phone (843) 997-5358

Other providers in Myrtle Beach, SC

All providers in Myrtle Beach, SC · Pharmacist in South Carolina

Sources for this page

Verify at the official NPI Registry.