Provider Demographics
NPI:1497052559
Name:FEUERSTEIN, PAMELA D (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:D
Last Name:FEUERSTEIN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4520 HARD SCRABBLE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-8560
Mailing Address - Country:US
Mailing Address - Phone:803-419-7507
Mailing Address - Fax:803-419-7967
Practice Address - Street 1:4520 HARD SCRABBLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-8560
Practice Address - Country:US
Practice Address - Phone:803-419-7507
Practice Address - Fax:803-419-7967
Is Sole Proprietor?:No
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8069183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist