Healthcare Provider Details

I. General information

NPI: 1184716227
Provider Name (Legal Business Name): PATRICIA H FABEL PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA H POWELL

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 06/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 SUNSET BLVD
WEST COLUMBIA SC
29169-5914
US

IV. Provider business mailing address

1300 SUNSET BLVD
WEST COLUMBIA SC
29169-5914
US

V. Phone/Fax

Practice location:
  • Phone: 803-791-7043
  • Fax: 803-808-1829
Mailing address:
  • Phone: 803-791-7043
  • Fax: 803-808-1829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH023289
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number11958
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: