Provider Demographics
NPI:1619154002
Name:MERRITT, MICHELLE S (PHARMD)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:S
Last Name:MERRITT
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 1:116 HIGHWOODS DR
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27530-8401
Mailing Address - Country:US
Mailing Address - Phone:919-394-7420
Mailing Address - Fax:919-583-8034
Practice Address - Street 1:116 HIGHWOODS DR
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-8401
Practice Address - Country:US
Practice Address - Phone:919-394-7420
Practice Address - Fax:919-583-8034
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16465183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist