Provider Demographics
NPI:1821311754
Name:HURLESS, NATHAN P (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:P
Last Name:HURLESS
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 1:2600 LINCOLN WAY E
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-5055
Mailing Address - Country:US
Mailing Address - Phone:330-833-1023
Mailing Address - Fax:330-833-2339
Practice Address - Street 1:2600 LINCOLN WAY E
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-5055
Practice Address - Country:US
Practice Address - Phone:330-833-1023
Practice Address - Fax:330-833-2339
Is Sole Proprietor?:No
Enumeration Date:2010-03-06
Last Update Date:2010-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03127483183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist