Provider Demographics
NPI:1548040413
Name:COLE, SHAYNA VANCE (PHARMD)
Entity type:Individual
Prefix:
First Name:SHAYNA
Middle Name:VANCE
Last Name:COLE
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 1:156 LITTLE BUCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:NEWLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28657-9806
Mailing Address - Country:US
Mailing Address - Phone:828-467-4852
Mailing Address - Fax:
Practice Address - Street 1:107 ESTATOA AVE
Practice Address - Street 2:
Practice Address - City:NEWLAND
Practice Address - State:NC
Practice Address - Zip Code:28657-7832
Practice Address - Country:US
Practice Address - Phone:828-733-0061
Practice Address - Fax:828-733-0027
Is Sole Proprietor?:No
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28010183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist