Provider Demographics
NPI:1942208442
Name:HERRING, PAUL EUGENE (RPH)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:EUGENE
Last Name:HERRING
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 HUNT VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-1675
Mailing Address - Country:US
Mailing Address - Phone:614-866-1331
Mailing Address - Fax:614-863-6542
Practice Address - Street 1:716 HUNT VALLEY DR
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-1675
Practice Address - Country:US
Practice Address - Phone:614-866-1331
Practice Address - Fax:614-863-6542
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-09039183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist