AMANDA JOY LAKE

FORT MILL, SC
NPI1265738694
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: SC  10534)
Enumeration Date2011-02-02
Last Update Date2011-02-02
Business Address
Dr. AMANDA JOY LAKE PharmD
219 GLENVILLE DR
FORT MILL, SC 29715-5815
Phone number: 803-802-4424
Mailing Address
Dr. AMANDA JOY LAKE PharmD
219 GLENVILLE DR
FORT MILL, SC 29715-5815
Phone number: 803-802-4424
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