Healthcare Provider Details

I. General information

NPI: 1750931952
Provider Name (Legal Business Name): LASHANTA DENISE HERRING PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2019
Last Update Date: 09/24/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2803 MEDICAL CAMPUS DR.
GOLDSBORO NC
27531
US

IV. Provider business mailing address

2803 MEDICAL CAMPUS DR.
GOLDSBORO NC
27531
US

V. Phone/Fax

Practice location:
  • Phone: 919-722-1802
  • Fax:
Mailing address:
  • Phone: 919-722-1802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28668
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: