Provider Demographics
NPI:1104041003
Name:EPLEY, JOANNE B (RPH)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:B
Last Name:EPLEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 RIVER BIRCH LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29206-4959
Mailing Address - Country:US
Mailing Address - Phone:803-782-6172
Mailing Address - Fax:803-782-0309
Practice Address - Street 1:2600 BULL ST
Practice Address - Street 2:SCDHEC OPHP
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-1708
Practice Address - Country:US
Practice Address - Phone:803-898-8383
Practice Address - Fax:803-898-3335
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4564183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA010727OtherSTATE LICENSE
SC4564OtherSTATE LICENSE