Healthcare Provider Details

I. General information

NPI: 1457444820
Provider Name (Legal Business Name): SHARON M FLETCHER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 BEE ST
CHARLESTON SC
29401-5703
US

IV. Provider business mailing address

16 STELLATA LN
BEAUFORT SC
29907-2562
US

V. Phone/Fax

Practice location:
  • Phone: 843-789-6583
  • Fax:
Mailing address:
  • Phone: 843-522-3438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10510
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: