Provider Demographics
NPI:1710652086
Name:STUTE, ADRIENNE N/A (PHARMD)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:N/A
Last Name:STUTE
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 1:305 IVEY LN
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-9816
Mailing Address - Country:US
Mailing Address - Phone:910-255-0104
Mailing Address - Fax:
Practice Address - Street 1:305 IVEY LN
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-9816
Practice Address - Country:US
Practice Address - Phone:910-255-0104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30694183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist