Provider Demographics
NPI:1174519920
Name:REGISTER, CLAUDIA ELLEN
Entity type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:ELLEN
Last Name:REGISTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11745B STATESVILLE BLVD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:NC
Mailing Address - Zip Code:27013-9419
Mailing Address - Country:US
Mailing Address - Phone:704-278-4788
Mailing Address - Fax:704-278-4596
Practice Address - Street 1:11745B STATESVILLE BLVD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:NC
Practice Address - Zip Code:27013-9419
Practice Address - Country:US
Practice Address - Phone:704-278-4788
Practice Address - Fax:704-278-4596
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8977183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist