Provider Demographics
NPI:1821346404
Name:OLIVER, MAGGEE REBEKKAH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MAGGEE
Middle Name:REBEKKAH
Last Name:OLIVER
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 1:1755 CENTRAL PARK RD
Mailing Address - Street 2:UNIT 5107
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-2824
Mailing Address - Country:US
Mailing Address - Phone:256-738-9170
Mailing Address - Fax:
Practice Address - Street 1:2152 SAVANNAH HWY
Practice Address - Street 2:ASHLEYTOWNE CENTER
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-5311
Practice Address - Country:US
Practice Address - Phone:843-556-8974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13783183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist