Provider Demographics
NPI:1023026358
Name:BOONE, PAMELA TURNER (RPH)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:TURNER
Last Name:BOONE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:PAMELA
Other - Middle Name:KAYE
Other - Last Name:FORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:1530 N. LIMESTONE ST.
Mailing Address - Street 2:
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29340
Mailing Address - Country:US
Mailing Address - Phone:864-487-1528
Mailing Address - Fax:864-487-1563
Practice Address - Street 1:1530 N. LIMESTONE ST
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29340
Practice Address - Country:US
Practice Address - Phone:864-487-1528
Practice Address - Fax:864-487-1563
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12302183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC12302OtherNC PHARMACY LICENSURE