Healthcare Provider Details

I. General information

NPI: 1396173928
Provider Name (Legal Business Name): MELISSA HERRING PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2013
Last Update Date: 10/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 S CROATAN HWY
KILL DEVIL HILLS NC
27948-8708
US

IV. Provider business mailing address

1101 S CROATAN HWY
KILL DEVIL HILLS NC
27948-8708
US

V. Phone/Fax

Practice location:
  • Phone: 252-441-3633
  • Fax: 252-441-0727
Mailing address:
  • Phone: 252-441-3633
  • Fax: 252-441-0727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number12599
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: