Healthcare Provider Details

I. General information

NPI: 1710802079
Provider Name (Legal Business Name): EMILY NOBLE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

634 PINE RIDGE DR STE A
WEST COLUMBIA SC
29172-1885
US

IV. Provider business mailing address

1850 ATLANTIC DR UNIT 435
COLUMBIA SC
29210-7969
US

V. Phone/Fax

Practice location:
  • Phone: 803-955-3404
  • Fax: 803-955-3406
Mailing address:
  • Phone: 814-602-2875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number67944
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: