Provider Demographics
NPI:1275895062
Name:PERKINS, DEBBIE MCCLAIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DEBBIE
Middle Name:MCCLAIN
Last Name:PERKINS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1628 N QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-2947
Mailing Address - Country:US
Mailing Address - Phone:252-522-2471
Mailing Address - Fax:252-527-6955
Practice Address - Street 1:1628 N QUEEN ST
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-2947
Practice Address - Country:US
Practice Address - Phone:252-522-2471
Practice Address - Fax:252-527-6955
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12208183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist