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NPI Code Detail

MEDICARE: JOANNA SHEPARD PHARMD

MEDICARE:   JOANNA  SHEPARD  PHARMD
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
1183500000XPharmacist11869SC

General Provider Information

NPI Number : 1841534773
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA SHEPARD PHARMD
Provider Business Mailing Address
First Line : 405 ANTEBELLUM LN
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-7851
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1676 N HIGHWAY 17
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-3310
Country : US
Telephone Number : 843-884-8281
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2012
Last Update Date : 11/15/2012

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Directions to “ JOANNA SHEPARD PHARMD” Practice Location

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