Provider Demographics
NPI:1184716227
Name:FABEL, PATRICIA H (PHARMD)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:H
Last Name:FABEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:H
Other - Last Name:POWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1300 SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29169-5914
Mailing Address - Country:US
Mailing Address - Phone:803-791-7043
Mailing Address - Fax:803-808-1829
Practice Address - Street 1:1300 SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-5914
Practice Address - Country:US
Practice Address - Phone:803-791-7043
Practice Address - Fax:803-808-1829
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH023289183500000X
SC119581835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist