Provider Demographics
NPI:1912359290
Name:HERRINGTON, NOELLE CRAWFORD (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:NOELLE
Middle Name:CRAWFORD
Last Name:HERRINGTON
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 1:2939 S HIGHWAY 17
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-7624
Mailing Address - Country:US
Mailing Address - Phone:843-357-4300
Mailing Address - Fax:843-357-4301
Practice Address - Street 1:2939 S HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-7624
Practice Address - Country:US
Practice Address - Phone:843-357-4300
Practice Address - Fax:843-357-4301
Is Sole Proprietor?:No
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC36647183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist