Individual
STACIE LYN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
25 HOSPITAL CENTER BLVD, HILTON HEAD ISLAND, SC 29926-2738
(843) 689-8248
Mailing address
4 INDIGO RUN DR APT 221, HILTON HEAD ISLAND, SC 29926-4101
(716) 807-7800
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
12701
SC
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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