Healthcare Provider Details

I. General information

NPI: 1164333084
Provider Name (Legal Business Name): STEPHANIE Y. CLIFTON-PACE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6531 MERIDIEN DR STE 113
RALEIGH NC
27616-8892
US

IV. Provider business mailing address

6531 MERIDIEN DR STE 113
RALEIGH NC
27616-8892
US

V. Phone/Fax

Practice location:
  • Phone: 763-348-3811
  • Fax: 888-594-4844
Mailing address:
  • Phone: 763-348-3811
  • Fax: 888-594-4844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14499
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: