Provider Demographics
NPI:1700159928
Name:NEWMAN, DONNA KAREN (RPH)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:KAREN
Last Name:NEWMAN
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 1:110 S HIGHWAY 52 STE B
Mailing Address - Street 2:
Mailing Address - City:MONCKS CORNER
Mailing Address - State:SC
Mailing Address - Zip Code:29461-3954
Mailing Address - Country:US
Mailing Address - Phone:843-761-5506
Mailing Address - Fax:843-761-0965
Practice Address - Street 1:110 S HIGHWAY 52 STE B
Practice Address - Street 2:
Practice Address - City:MONCKS CORNER
Practice Address - State:SC
Practice Address - Zip Code:29461-3954
Practice Address - Country:US
Practice Address - Phone:843-761-5506
Practice Address - Fax:843-761-0965
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-18
Last Update Date:2012-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6380183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist