Provider Demographics
NPI:1245771807
Name:SIMMONS, ROYANNA SLOAN (RPH)
Entity type:Individual
Prefix:
First Name:ROYANNA
Middle Name:SLOAN
Last Name:SIMMONS
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 1:7876 MAXWELL RD
Mailing Address - Street 2:
Mailing Address - City:STEDMAN
Mailing Address - State:NC
Mailing Address - Zip Code:28391-8722
Mailing Address - Country:US
Mailing Address - Phone:910-322-6230
Mailing Address - Fax:
Practice Address - Street 1:7876 MAXWELL RD
Practice Address - Street 2:
Practice Address - City:STEDMAN
Practice Address - State:NC
Practice Address - Zip Code:28391-8722
Practice Address - Country:US
Practice Address - Phone:910-322-6230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-15
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9423183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist