Provider Demographics
NPI:1174764005
Name:PERRY, FLORENCE ELIZABETH (RPH)
Entity type:Individual
Prefix:MS
First Name:FLORENCE
Middle Name:ELIZABETH
Last Name:PERRY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:PERRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:642 ORIENTAL ROAD
Mailing Address - Street 2:PO BOX 858
Mailing Address - City:ORIENTAL
Mailing Address - State:NC
Mailing Address - Zip Code:28571
Mailing Address - Country:US
Mailing Address - Phone:252-249-1420
Mailing Address - Fax:
Practice Address - Street 1:642 ORIENTAL RD
Practice Address - Street 2:
Practice Address - City:ORIENTAL
Practice Address - State:NC
Practice Address - Zip Code:28571
Practice Address - Country:US
Practice Address - Phone:252-249-1420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS0078071835G0303X
NC112291835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric