Healthcare Provider Details

I. General information

NPI: 1215957808
Provider Name (Legal Business Name): HYGEIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 04/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 FARM LIFE AVE
VANCEBORO NC
28586
US

IV. Provider business mailing address

PO BOX 218
VANCEBORO NC
28586-0218
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number3631
License Number StateNC

VIII. Authorized Official

Name: ERNEST G HARGETT
Title or Position: PRESIDENT
Credential: RPH
Phone: 252-244-1086