Provider Demographics
NPI:1437441268
Name:HURLEY, LOU ELLA (RPH)
Entity Type:Individual
Prefix:MS
First Name:LOU
Middle Name:ELLA
Last Name:HURLEY
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 1:9925 ROSE COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-3335
Mailing Address - Country:US
Mailing Address - Phone:704-875-2375
Mailing Address - Fax:704-875-2674
Practice Address - Street 1:9925 ROSE COMMONS DR
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-3335
Practice Address - Country:US
Practice Address - Phone:704-875-2375
Practice Address - Fax:704-875-2674
Is Sole Proprietor?:No
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11246183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist