Provider Demographics
NPI:1497766836
Name:STORMS, TERRI ANGELA (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:ANGELA
Last Name:STORMS
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:DR
Other - First Name:TERRI
Other - Middle Name:ANGELA
Other - Last Name:STORMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD, RPH
Mailing Address - Street 1:5106 HWY 87 SOUTH, STE100
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306
Mailing Address - Country:US
Mailing Address - Phone:910-483-3466
Mailing Address - Fax:
Practice Address - Street 1:5106 HWY 87 SOUTH, STE100
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306
Practice Address - Country:US
Practice Address - Phone:910-483-3466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13989183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist