Provider Demographics
NPI:1083017149
Name:SEMMES, SKYLER (PHARMD)
Entity Type:Individual
Prefix:
First Name:SKYLER
Middle Name:
Last Name:SEMMES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:SKYLER
Other - Middle Name:W
Other - Last Name:SEMMES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:420 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:VASS
Mailing Address - State:NC
Mailing Address - Zip Code:28394-9464
Mailing Address - Country:US
Mailing Address - Phone:919-259-5627
Mailing Address - Fax:
Practice Address - Street 1:2960 HOPE MILLS RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306-8348
Practice Address - Country:US
Practice Address - Phone:910-424-9213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-03
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24344183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist