Provider Demographics
NPI:1851715676
Name:ANDREWS, LILLIAN CARMICHAEL (BS OF PHARMACY)
Entity Type:Individual
Prefix:MRS
First Name:LILLIAN
Middle Name:CARMICHAEL
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:BS OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2709 CHURCH ST STE A
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-4440
Mailing Address - Country:US
Mailing Address - Phone:843-365-0318
Mailing Address - Fax:843-365-0318
Practice Address - Street 1:2709 CHURCH ST STE A
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-4440
Practice Address - Country:US
Practice Address - Phone:843-365-0318
Practice Address - Fax:843-365-0318
Is Sole Proprietor?:No
Enumeration Date:2014-02-13
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7728183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist