Provider Demographics
NPI:1053312124
Name:HERRING, HENRY H JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:HENRY
Middle Name:H
Last Name:HERRING
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 S 16TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-8016
Mailing Address - Country:US
Mailing Address - Phone:910-763-1896
Mailing Address - Fax:910-763-1709
Practice Address - Street 1:912 S 16TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-8016
Practice Address - Country:US
Practice Address - Phone:910-763-1896
Practice Address - Fax:910-763-1709
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC06675183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist