Basic Information
Provider Information
NPI: 1760591994
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CARTWRIGHT
FirstName: AUBREY
MiddleName: CAMPBELL
NamePrefix: DR.
NameSuffix:  
Credential: PHARM.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6439 GARNERS FERRY RD
Address2:  
City: COLUMBIA
State: SC
PostalCode: 292091638
CountryCode: US
TelephoneNumber: 8037764000
FaxNumber:  
Practice Location
Address1: 6439 GARNERS FERRY RD
Address2:  
City: COLUMBIA
State: SC
PostalCode: 292091638
CountryCode: US
TelephoneNumber: 8037764000
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/30/2006
LastUpdateDate: 03/23/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1835P1200X010493SCY Pharmacy Service ProvidersPharmacistPharmacotherapy

No ID Information.


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