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1013266469
AMY BAGWELL
COLUMBIA, SC
NPI
1013266469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: SC 13305)
Enumeration Date
2012-08-30
Last Update Date
2012-08-30
Business Address
-- AMY BAGWELL
2571 FOREST DR
COLUMBIA, SC 29204-2029
Phone number: 803-254-2376
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Mailing Address
-- AMY BAGWELL
2571 FOREST DR
COLUMBIA, SC 29204-2029
Phone number: 803-254-2376
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