Provider Demographics
NPI:1194555441
Name:HARRELSON, STEPHANIE COKER (PHARMD)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:COKER
Last Name:HARRELSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5119 CALHOUN MEMORIAL HWY STE A
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29640-3889
Mailing Address - Country:US
Mailing Address - Phone:864-859-0283
Mailing Address - Fax:
Practice Address - Street 1:5119 CALHOUN MEMORIAL HWY STE A
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-3889
Practice Address - Country:US
Practice Address - Phone:864-859-0283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC149801835G0303X
SC98601835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric