Provider Demographics
NPI:1568612182
Name:HERRINGTON, PEYTON L (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PEYTON
Middle Name:L
Last Name:HERRINGTON
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 1:398 HIGHWAY 51 N
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-4430
Mailing Address - Country:US
Mailing Address - Phone:601-853-9864
Mailing Address - Fax:601-898-4584
Practice Address - Street 1:398 HIGHWAY 51 N
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-4430
Practice Address - Country:US
Practice Address - Phone:601-853-9864
Practice Address - Fax:601-898-4584
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-010100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist