Provider Demographics
NPI:1538405717
Name:STANSELL, EMILY M (PHARMD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:M
Last Name:STANSELL
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 1:163 SEA ISLAND PKWY
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29907-1504
Mailing Address - Country:US
Mailing Address - Phone:843-986-9658
Mailing Address - Fax:843-986-0607
Practice Address - Street 1:163 SEA ISLAND PKWY
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29907-1504
Practice Address - Country:US
Practice Address - Phone:843-986-9658
Practice Address - Fax:843-986-0607
Is Sole Proprietor?:No
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11395183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist