Provider Demographics
NPI:1508075714
Name:STEPHENS, SHEILA M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:M
Last Name:STEPHENS
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 1:430 WILLIAM HILTON PKWY
Mailing Address - Street 2:SUITE 302B
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-2424
Mailing Address - Country:US
Mailing Address - Phone:843-338-7889
Mailing Address - Fax:843-686-3035
Practice Address - Street 1:430 WILLIAM HILTON PKWY
Practice Address - Street 2:SUITE 302 B
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-2424
Practice Address - Country:US
Practice Address - Phone:843-686-3040
Practice Address - Fax:843-686-3035
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC010721835P1200X
MO0403241835P1200X
AL088151835P1200X
KY84181835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy