Provider Demographics
NPI:1568908549
Name:HALL, MEREDITH ERIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:ERIN
Last Name:HALL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MEREDITH
Other - Middle Name:ERIN
Other - Last Name:NORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1007 ALBA LN
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-9233
Mailing Address - Country:US
Mailing Address - Phone:910-620-4833
Mailing Address - Fax:910-383-1269
Practice Address - Street 1:1112 NEW POINTE BLVD
Practice Address - Street 2:
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451-4115
Practice Address - Country:US
Practice Address - Phone:910-383-1302
Practice Address - Fax:910-383-1269
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-13
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18970183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist