IndividualActive
Amanda Shelly
NPI 1174908776 · Pharmacist · Goose Creek, SC
Provider details
- NPI number
- 1174908776
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 35529 (SC)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
600 Saint James Ave
Goose Creek, SC 29445-2776
Phone: (843) 569-3114
Approximate (ZIP-level) locationGet directions
Mailing address
600 Saint James Ave
Goose Creek, SC 29445-2776
Registry dates
- Enumerated
- 2015-07-23
- Last updated
- 2015-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.