Provider Demographics
NPI:1245690833
Name:HARRINGTON, SCOTT M (RPH)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:M
Last Name:HARRINGTON
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 1:350 E SIX FORKS RD
Mailing Address - Street 2:DISTRICT A OFFICE
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7879
Mailing Address - Country:US
Mailing Address - Phone:919-838-2794
Mailing Address - Fax:
Practice Address - Street 1:350 E SIX FORKS RD
Practice Address - Street 2:DISTRICT A OFFICE
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7879
Practice Address - Country:US
Practice Address - Phone:919-838-2794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-25
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25691183500000X
NV16023183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist