Healthcare Provider Details
I. General information
NPI: 1093094112
Provider Name (Legal Business Name): EMILY MORRIS HAWES PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/07/2011
Last Update Date: 08/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5316 HIGHGATE DR STE 125
DURHAM NC
27713-6627
US
IV. Provider business mailing address
101 MANNING DR CB #7600
CHAPEL HILL NC
27514-4220
US
V. Phone/Fax
- Phone: 919-484-1015
- Fax:
- Phone: 919-966-5523
- Fax: 919-966-7163
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1835P0018X |
| Taxonomy | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| License Number | 21190 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: