Healthcare Provider Details

I. General information

NPI: 1790961522
Provider Name (Legal Business Name): ELIZABETH CORINNE SESCILLA PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2008
Last Update Date: 01/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 BILTMORE AVE RM 102
ASHEVILLE NC
28801-4604
US

IV. Provider business mailing address

495 BILTMORE AVE RM 102
ASHEVILLE NC
28801-4604
US

V. Phone/Fax

Practice location:
  • Phone: 828-213-0598
  • Fax: 828-213-0559
Mailing address:
  • Phone: 828-213-0598
  • Fax: 828-213-0559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15641
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: