Healthcare Provider Details

I. General information

NPI: 1194862631
Provider Name (Legal Business Name): STEPHEN FREDERICK ECKEL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

1 BANBURY LN
CHAPEL HILL NC
27517-2504
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-5749
  • Fax: 919-966-7163
Mailing address:
  • Phone: 919-933-7480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number13007
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: