Provider Demographics
NPI:1205901139
Name:HUNTER, DEBRA MICHELLE (RPH)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:MICHELLE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4304 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-3636
Mailing Address - Country:US
Mailing Address - Phone:432-689-3839
Mailing Address - Fax:
Practice Address - Street 1:301 NORTH 'N' ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701
Practice Address - Country:US
Practice Address - Phone:432-688-0822
Practice Address - Fax:432-687-0268
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX330381835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology