Provider Demographics
NPI:1558661165
Name:DEARIE, DAVID BRENDAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BRENDAN
Last Name:DEARIE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7542 QUAIL WOODS RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-7273
Mailing Address - Country:US
Mailing Address - Phone:910-470-2287
Mailing Address - Fax:
Practice Address - Street 1:206 S.W. CENTER ST.
Practice Address - Street 2:
Practice Address - City:FAISON
Practice Address - State:NC
Practice Address - Zip Code:28341-7567
Practice Address - Country:US
Practice Address - Phone:910-267-0080
Practice Address - Fax:910-267-0082
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-28
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21256183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist