Provider Demographics
NPI:1710628623
Name:STIGLITZ, ZASHA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ZASHA
Middle Name:
Last Name:STIGLITZ
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 1:2377 BETHEL RD
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29550-7293
Mailing Address - Country:US
Mailing Address - Phone:704-430-8981
Mailing Address - Fax:
Practice Address - Street 1:2310 W BOBO NEWSOM HWY
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29550-4768
Practice Address - Country:US
Practice Address - Phone:843-332-4191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC43346183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist