Provider Demographics
NPI:1619269065
Name:MOLETT, DARLENE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:
Last Name:MOLETT
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11560 NC HWY 55 EAST
Mailing Address - Street 2:UNIT 13
Mailing Address - City:GRANTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28529-0000
Mailing Address - Country:US
Mailing Address - Phone:252-745-3911
Mailing Address - Fax:252-745-1223
Practice Address - Street 1:11560 HWY 55 EAST
Practice Address - Street 2:UNIT 13
Practice Address - City:GRANTSBORO
Practice Address - State:NC
Practice Address - Zip Code:28529-0000
Practice Address - Country:US
Practice Address - Phone:252-745-3911
Practice Address - Fax:252-745-1223
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18183183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist