Provider Demographics
NPI:1255010344
Name:KEEFE, AMBER LYNN (PHARMD)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:LYNN
Last Name:KEEFE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 NEELY MATTHEWS RD
Mailing Address - Street 2:
Mailing Address - City:COWARD
Mailing Address - State:SC
Mailing Address - Zip Code:29530-5111
Mailing Address - Country:US
Mailing Address - Phone:843-373-5582
Mailing Address - Fax:
Practice Address - Street 1:2791 DAVID H MCLEOD BLVD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4043
Practice Address - Country:US
Practice Address - Phone:843-667-6891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC43966183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist