Healthcare Provider Details

I. General information

NPI: 1336461011
Provider Name (Legal Business Name): ANNE MARIE HARRILL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2010
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 GOLF ACRES DR
CHARLOTTE NC
28208-5990
US

IV. Provider business mailing address

10030 GILEAD RD STE 350
HUNTERSVILLE NC
28078-7545
US

V. Phone/Fax

Practice location:
  • Phone: 704-512-7692
  • Fax: 704-512-6801
Mailing address:
  • Phone: 980-302-7195
  • Fax: 980-302-7105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number12166
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: