Provider Demographics
NPI:1578981965
Name:SWEATMAN, RHONDA KAY (RPH)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:KAY
Last Name:SWEATMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:RHONDA
Other - Middle Name:KAY
Other - Last Name:ROBERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:3725 RIVERS AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-7038
Mailing Address - Country:US
Mailing Address - Phone:843-760-0477
Mailing Address - Fax:
Practice Address - Street 1:3725 RIVERS AVE
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-7038
Practice Address - Country:US
Practice Address - Phone:843-554-8844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6196183500000X
NC22953183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist