Provider Demographics
NPI:1760002687
Name:SION, AMY MARIE (PHARMD, BCOP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:MARIE
Last Name:SION
Suffix:
Gender:F
Credentials:PHARMD, BCOP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:759 CANOPY CV
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-9196
Mailing Address - Country:US
Mailing Address - Phone:303-229-9767
Mailing Address - Fax:843-792-1445
Practice Address - Street 1:86 JONATHAN LUCAS ST STE 219
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-8900
Practice Address - Country:US
Practice Address - Phone:842-792-2574
Practice Address - Fax:843-792-1445
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-21
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC131091835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835X0200XPharmacy Service ProvidersPharmacistOncologyGroup - Single Specialty