Provider Demographics
NPI:1528346509
Name:SHEETS, CHRISTINE ANN (PHARMD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ANN
Last Name:SHEETS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:ANN
Other - Last Name:OWENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4361 HIGHWAY 24
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29626-5214
Mailing Address - Country:US
Mailing Address - Phone:864-224-8433
Mailing Address - Fax:
Practice Address - Street 1:4361 HIGHWAY 24
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29626-5214
Practice Address - Country:US
Practice Address - Phone:864-224-8433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-25
Last Update Date:2011-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH026074183500000X
SC13438183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist