Healthcare Provider Details

I. General information

NPI: 1396045746
Provider Name (Legal Business Name): BRITTANY MEARS VANPELT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2010
Last Update Date: 11/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

377 WESTERN BLVD
JACKSONVILLE NC
28546-6317
US

IV. Provider business mailing address

7328 WALKING HORSE CT
WILMINGTON NC
28411-1018
US

V. Phone/Fax

Practice location:
  • Phone: 910-353-3424
  • Fax:
Mailing address:
  • Phone: 919-889-5283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number21044
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: