Provider Demographics
NPI:1609131028
Name:CHADWICK, SANDRA DEANNE (PHARMD, BS, BS)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:DEANNE
Last Name:CHADWICK
Suffix:
Gender:F
Credentials:PHARMD, BS, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 W CORNELIUS HARNETT BLVD
Mailing Address - Street 2:
Mailing Address - City:LILLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27546-6848
Mailing Address - Country:US
Mailing Address - Phone:910-814-2692
Mailing Address - Fax:910-814-2742
Practice Address - Street 1:87 W CORNELIUS HARNETT BLVD
Practice Address - Street 2:
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546-6848
Practice Address - Country:US
Practice Address - Phone:910-814-2692
Practice Address - Fax:910-814-2742
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-11
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16206183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist