Healthcare Provider Details

I. General information

NPI: 1770030983
Provider Name (Legal Business Name): STARCIA RENEE MCNEILL PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: STARCIA RENEE HINES

II. Dates (important events)

Enumeration Date: 09/06/2016
Last Update Date: 09/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1506 E MONTAGUE AVE
NORTH CHARLESTON SC
29405-5301
US

IV. Provider business mailing address

301D N MAIN ST
SUMMERVILLE SC
29483-6417
US

V. Phone/Fax

Practice location:
  • Phone: 843-554-8867
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH36568
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH233831
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: