Provider Demographics
NPI:1467738740
Name:DEMIAN, SYLVIA (PHARMD)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:DEMIAN
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 1:7 LOGGERHEAD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-7911
Mailing Address - Country:US
Mailing Address - Phone:803-397-7333
Mailing Address - Fax:
Practice Address - Street 1:7830 GARNERS FERRY RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209-3957
Practice Address - Country:US
Practice Address - Phone:803-647-7114
Practice Address - Fax:803-647-7066
Is Sole Proprietor?:No
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11595183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist