Debra Lynn Anderson, RPH
Individual provider Active NPI Pharmacist · Conway, SC
NPI 1497200364 · NPPES record last updated Aug 22, 2016
Key facts
- NPI
- 1497200364
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 7457 (SC)
- Practice address
- 1610 Church St Ste U
Conway, SC 29526-2932 - Phone
- (843) 248-2411
- NPI assigned
- Aug 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7457 | SC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7457 | SC | Yes |
Addresses
Primary practice location
1610 Church St Ste U
Conway, SC 29526-2932
Mailing address
1610 Church St Ste U
Conway, SC 29526-2932
Phone (843) 248-2411
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.