Provider Demographics
NPI:1821325812
Name:CAHALL, LORI WOODALL (PHARMD)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:WOODALL
Last Name:CAHALL
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 1:3001 NC HIGHWAY 42 W
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-7735
Mailing Address - Country:US
Mailing Address - Phone:252-293-0255
Mailing Address - Fax:252-293-0608
Practice Address - Street 1:3001 NC HIGHWAY 42 W
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-7735
Practice Address - Country:US
Practice Address - Phone:252-293-0255
Practice Address - Fax:252-293-0608
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-11
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15858183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist