Individual
ELISSA ROSE SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10599 DORCHESTER RD, SUMMERVILLE, SC 29485-8047
(843) 871-7701
Mailing address
48 BRISBANE DR, CHARLESTON, SC 29407-3449
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36147
SC
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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