Healthcare Provider Details

I. General information

NPI: 1407540115
Provider Name (Legal Business Name): HGE PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2023
Last Update Date: 06/06/2023
Certification Date: 06/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

361 GEORGE W LILES PKWY NW
CONCORD NC
28027-6532
US

IV. Provider business mailing address

1111 OLD CHARLOTTE RD
CONCORD NC
28027-7022
US

V. Phone/Fax

Practice location:
  • Phone: 704-789-9681
  • Fax:
Mailing address:
  • Phone: 706-955-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KIERA EMERY
Title or Position: OWNER
Credential: PHARMD
Phone: 706-955-6100