Provider Demographics
NPI:1033366612
Name:PALMER, SONYA LENETTE (PHD, PHARMD, MBA)
Entity Type:Individual
Prefix:DR
First Name:SONYA
Middle Name:LENETTE
Last Name:PALMER
Suffix:
Gender:F
Credentials:PHD, PHARMD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11211 ASHEVILLE HWY
Mailing Address - Street 2:CVS PHARMACY
Mailing Address - City:INMAN
Mailing Address - State:SC
Mailing Address - Zip Code:29349
Mailing Address - Country:US
Mailing Address - Phone:864-472-2831
Mailing Address - Fax:864-472-4631
Practice Address - Street 1:11211 ASHEVILLE HWY
Practice Address - Street 2:CVS PHARMACY
Practice Address - City:INMAN
Practice Address - State:SC
Practice Address - Zip Code:29349
Practice Address - Country:US
Practice Address - Phone:864-472-2831
Practice Address - Fax:864-472-4631
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC012247183500000X
NC20187183500000X
GARPH025028183500000X
IL051293429183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist