Healthcare Provider Details

I. General information

NPI: 1356642995
Provider Name (Legal Business Name): ERNEST G HARGETT BS RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2010
Last Update Date: 04/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 FARM LIFE AVE
VANCEBORO NC
28586-7797
US

IV. Provider business mailing address

2610 ASHBY DR
WILMINGTON NC
28411-6182
US

V. Phone/Fax

Practice location:
  • Phone: 252-244-1086
  • Fax: 252-244-2264
Mailing address:
  • Phone: 910-622-1249
  • Fax: 252-244-1086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number06035
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: