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MR. LARRY D AMICK B.S.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1215148986

Individual Registrant:
MR. LARRY D AMICK B.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
505 PALM BLVD  ISLE OF PALMS, SC 29451-2139 US
Tel: 843-886-6045  Fax: --

Contact information for business:
505 PALM BLVD  ISLE OF PALMS, SC 29451-2139 US
Tel: 843-886-6045  Fax: --

Registration Information:
NPI: 1215148986
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
SC3310

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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