Provider Demographics
NPI:1588031116
Name:ERNST, CALLIE MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CALLIE
Middle Name:MARIE
Last Name:ERNST
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2794 HICKORY BLVD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28638-9101
Mailing Address - Country:US
Mailing Address - Phone:828-572-6020
Mailing Address - Fax:828-572-2019
Practice Address - Street 1:2794 HICKORY BLVD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NC
Practice Address - Zip Code:28638-9101
Practice Address - Country:US
Practice Address - Phone:828-572-6020
Practice Address - Fax:828-572-2019
Is Sole Proprietor?:No
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23834183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist