Provider Demographics
NPI:1699068296
Name:CONE, SUSAN CANDACE (RPH)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:CANDACE
Last Name:CONE
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 1:1305 BELLE POINT DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-8268
Mailing Address - Country:US
Mailing Address - Phone:704-214-3039
Mailing Address - Fax:
Practice Address - Street 1:2195 TEA PLANTER LN
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-7804
Practice Address - Country:US
Practice Address - Phone:843-881-2583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-16
Last Update Date:2013-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5811183500000X
NC21286183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC21286OtherPHARMACIST LICENSE
SC5811OtherPHARMACIST LICENSE