Provider Demographics
NPI:1396863833
Name:PEARMAN, TERESA KAY (RPH)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:KAY
Last Name:PEARMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2670 EAST FORK ROAD
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:NC
Mailing Address - Zip Code:28753-7105
Mailing Address - Country:US
Mailing Address - Phone:828-689-2868
Mailing Address - Fax:828-686-3804
Practice Address - Street 1:2294 US HWY 70
Practice Address - Street 2:
Practice Address - City:SWANNANOA
Practice Address - State:NC
Practice Address - Zip Code:28778-8209
Practice Address - Country:US
Practice Address - Phone:828-686-3804
Practice Address - Fax:828-686-3805
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14569183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist