Provider Demographics
NPI:1497003180
Name:SABIO, CHARLENE JOY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHARLENE
Middle Name:JOY
Last Name:SABIO
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 1:3312 DEVINE ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29205-1850
Mailing Address - Country:US
Mailing Address - Phone:803-748-8588
Mailing Address - Fax:
Practice Address - Street 1:3312 DEVINE ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29205-1850
Practice Address - Country:US
Practice Address - Phone:803-748-8588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC011174183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist