Provider Demographics
NPI:1952847089
Name:DRIVER, SONIA (PHARM D)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:DRIVER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10930 RAVEN RIDGE RD STE 109
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-6594
Mailing Address - Country:US
Mailing Address - Phone:919-844-2055
Mailing Address - Fax:919-844-2054
Practice Address - Street 1:10930 RAVEN RIDGE RD STE 109
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-6594
Practice Address - Country:US
Practice Address - Phone:919-844-2055
Practice Address - Fax:919-844-2054
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-12
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18401183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist