Provider Demographics
NPI:1558770354
Name:HATCHER, NORRIS CLARK IV (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NORRIS
Middle Name:CLARK
Last Name:HATCHER
Suffix:IV
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 1:2630 CONNELLY SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:GRANITE FALLS
Mailing Address - State:NC
Mailing Address - Zip Code:28630-9227
Mailing Address - Country:US
Mailing Address - Phone:828-726-6027
Mailing Address - Fax:
Practice Address - Street 1:2630 CONNELLY SPRINGS RD
Practice Address - Street 2:
Practice Address - City:GRANITE FALLS
Practice Address - State:NC
Practice Address - Zip Code:28630-9227
Practice Address - Country:US
Practice Address - Phone:828-726-6027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-05
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24309183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist