Provider Demographics
NPI:1356642995
Name:HARGETT, ERNEST G (BS RPH)
Entity Type:Individual
Prefix:
First Name:ERNEST
Middle Name:G
Last Name:HARGETT
Suffix:
Gender:M
Credentials:BS RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2610 ASHBY DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-6182
Mailing Address - Country:US
Mailing Address - Phone:910-622-1249
Mailing Address - Fax:252-244-1086
Practice Address - Street 1:421 FARM LIFE AVE
Practice Address - Street 2:
Practice Address - City:VANCEBORO
Practice Address - State:NC
Practice Address - Zip Code:28586-7797
Practice Address - Country:US
Practice Address - Phone:252-244-1086
Practice Address - Fax:252-244-2264
Is Sole Proprietor?:No
Enumeration Date:2010-11-13
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC06035183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist