Provider Demographics
NPI:1760893812
Name:HERRING, HYLAND CHARLES (PHARMD)
Entity Type:Individual
Prefix:
First Name:HYLAND
Middle Name:CHARLES
Last Name:HERRING
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 CANTRELL RD APT 903
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72227-6504
Mailing Address - Country:US
Mailing Address - Phone:501-240-6367
Mailing Address - Fax:
Practice Address - Street 1:8100 CANTRELL RD APT 903
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72227-6504
Practice Address - Country:US
Practice Address - Phone:501-240-6367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-12
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR11283183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist