Provider Demographics
NPI:1518410927
Name:HACHMEISTER, CHARLES WILLIAM III
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:WILLIAM
Last Name:HACHMEISTER
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:CHASE
Other - Middle Name:
Other - Last Name:HACHMEISTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:300 BLACKWELL ST APT 304
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-3991
Mailing Address - Country:US
Mailing Address - Phone:252-347-1081
Mailing Address - Fax:
Practice Address - Street 1:300 BLACKWELL ST APT 304
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-3991
Practice Address - Country:US
Practice Address - Phone:252-347-1081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25980183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist