Healthcare Provider Details

I. General information

NPI: 1649297474
Provider Name (Legal Business Name): SHARON S CASTLE PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 10/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 BEE ST
CHARLESTON SC
29401-5703
US

IV. Provider business mailing address

109 BEE ST
CHARLESTON SC
29401-5703
US

V. Phone/Fax

Practice location:
  • Phone: 843-789-7221
  • Fax: 843-789-6045
Mailing address:
  • Phone: 843-789-7221
  • Fax: 843-789-6045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number010744
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: