Provider Demographics
NPI:1942464540
Name:LOCKLEAR, ELIZABETH TRUMAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:TRUMAN
Last Name:LOCKLEAR
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 1:7910 US HIGHWAY 117 S UNIT 110
Mailing Address - Street 2:
Mailing Address - City:ROCKY POINT
Mailing Address - State:NC
Mailing Address - Zip Code:28457-7409
Mailing Address - Country:US
Mailing Address - Phone:910-210-2030
Mailing Address - Fax:910-210-2031
Practice Address - Street 1:7910 US HIGHWAY 117 S UNIT 110
Practice Address - Street 2:
Practice Address - City:ROCKY POINT
Practice Address - State:NC
Practice Address - Zip Code:28457-7409
Practice Address - Country:US
Practice Address - Phone:910-210-2030
Practice Address - Fax:910-210-2031
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-12
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17313183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0715285Medicaid