Provider Demographics
NPI:1578039962
Name:SCEVIOUR, TERAH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TERAH
Middle Name:
Last Name:SCEVIOUR
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 1:349 CAMELOT DR
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:NC
Mailing Address - Zip Code:28721-8549
Mailing Address - Country:US
Mailing Address - Phone:803-646-6486
Mailing Address - Fax:
Practice Address - Street 1:88 HIGHWAY 107
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-9649
Practice Address - Country:US
Practice Address - Phone:828-586-3558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27789183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist