Provider Demographics
NPI:1417208968
Name:POMPEY-POWELL, DANA KRISTANNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:KRISTANNE
Last Name:POMPEY-POWELL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10204 TWO NOTCH RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-4386
Mailing Address - Country:US
Mailing Address - Phone:803-788-0951
Mailing Address - Fax:
Practice Address - Street 1:10204 TWO NOTCH RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-4386
Practice Address - Country:US
Practice Address - Phone:803-788-0951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-24
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC012343183500000X
GA024526183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist