Provider Demographics
NPI:1780003194
Name:COUNTS MARTIN, SONYA MONIQUE (RPH)
Entity Type:Individual
Prefix:MS
First Name:SONYA
Middle Name:MONIQUE
Last Name:COUNTS MARTIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6227 ROBIN HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-9347
Mailing Address - Country:US
Mailing Address - Phone:704-488-7167
Mailing Address - Fax:
Practice Address - Street 1:1151 STONECREST BLVD
Practice Address - Street 2:
Practice Address - City:TEGA CAY
Practice Address - State:SC
Practice Address - Zip Code:29708-6555
Practice Address - Country:US
Practice Address - Phone:803-578-4120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-14
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8947183500000X
NC14722183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist