Provider Demographics
NPI:1891401154
Name:NOBLES, ELIZABETH A (RPH)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:NOBLES
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 1:6 STUART ST
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:SC
Mailing Address - Zip Code:29940-3512
Mailing Address - Country:US
Mailing Address - Phone:843-846-1667
Mailing Address - Fax:
Practice Address - Street 1:350 ROBERT SMALLS PKWY
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29906-4284
Practice Address - Country:US
Practice Address - Phone:843-533-8687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8893183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist