Provider Demographics
NPI:1154304400
Name:COLN, AMY BELINDA (REGISTERED TECHNICIA)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:BELINDA
Last Name:COLN
Suffix:
Gender:F
Credentials:REGISTERED TECHNICIA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:114 LAKELAND DR
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-4310
Mailing Address - Country:US
Mailing Address - Phone:864-444-5823
Mailing Address - Fax:
Practice Address - Street 1:408 MEMORIAL DRIVE EXT
Practice Address - Street 2:PROFESSIONAL PHARMACY AT MT VIEW INC
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-1818
Practice Address - Country:US
Practice Address - Phone:864-877-4281
Practice Address - Fax:864-877-4077
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC17139183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician