MEDICARE: MRS. SHARON COE RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	9178	SC

General Provider Information

NPI Number	:	1124226014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHARON COE RPH

Provider Business Mailing Address
First Line	:	7865 LITTLE BRITTON RD
Second Line	:
City	:	HOLLYWOOD
State	:	SC
Zip	:	29449-6213
Country	:	US
Telephone Number	:	843-889-6073
Fax Number	:	843-889-4976

Provider Business Practice Location Address
First Line	:	6251 HIGHWAY 162 UNIT H
Second Line	:
City	:	HOLLYWOOD
State	:	SC
Zip	:	29449-5782
Country	:	US
Telephone Number	:	843-889-6866
Fax Number	:	843-889-4976

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	07/08/2007

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