Provider Demographics
NPI:1790088110
Name:RALLINGS, TERRIE AMMONS (RPH)
Entity Type:Individual
Prefix:
First Name:TERRIE
Middle Name:AMMONS
Last Name:RALLINGS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3633 NANCY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-0447
Mailing Address - Country:US
Mailing Address - Phone:704-846-4221
Mailing Address - Fax:
Practice Address - Street 1:210 E TRADE ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-2404
Practice Address - Country:US
Practice Address - Phone:704-971-1254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-07
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC06926183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist