Provider Demographics
NPI:1932470218
Name:HEATHERINGTON, TERRY W (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:W
Last Name:HEATHERINGTON
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 HIGHWAY 107
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-9649
Mailing Address - Country:US
Mailing Address - Phone:828-586-3558
Mailing Address - Fax:828-631-3268
Practice Address - Street 1:36 HIGHWAY 107
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-9649
Practice Address - Country:US
Practice Address - Phone:828-586-3558
Practice Address - Fax:828-631-3268
Is Sole Proprietor?:No
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC04966183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC370471OtherNABP