Provider Demographics
NPI:1659708410
Name:HINSON, HERBERT (RPH)
Entity Type:Individual
Prefix:
First Name:HERBERT
Middle Name:
Last Name:HINSON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2019 S GLENBURNIE RD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-5228
Mailing Address - Country:US
Mailing Address - Phone:252-637-9537
Mailing Address - Fax:252-637-9086
Practice Address - Street 1:2019 S GLENBURNIE RD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-5228
Practice Address - Country:US
Practice Address - Phone:252-637-9537
Practice Address - Fax:252-637-9086
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-10
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7319183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist