Provider Demographics
NPI:1346760766
Name:PAULING, EVELYN NICOLE ALEXANDER (MBA, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:NICOLE ALEXANDER
Last Name:PAULING
Suffix:
Gender:F
Credentials:MBA, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2557 W FRANKLIN BLVD
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28052-1249
Mailing Address - Country:US
Mailing Address - Phone:704-917-7787
Mailing Address - Fax:704-917-7737
Practice Address - Street 1:2557 W FRANKLIN BLVD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28052-1249
Practice Address - Country:US
Practice Address - Phone:704-917-7787
Practice Address - Fax:704-917-7737
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22204183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist