Provider Demographics
NPI:1104095652
Name:MEYRING, COLETTE CALLAGHAN (RPH)
Entity type:Individual
Prefix:MRS
First Name:COLETTE
Middle Name:CALLAGHAN
Last Name:MEYRING
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 1:303 N ARENDELL AVE
Mailing Address - Street 2:
Mailing Address - City:ZEBULON
Mailing Address - State:NC
Mailing Address - Zip Code:27597-2605
Mailing Address - Country:US
Mailing Address - Phone:919-269-7481
Mailing Address - Fax:919-269-9998
Practice Address - Street 1:303 N ARENDELL AVE
Practice Address - Street 2:
Practice Address - City:ZEBULON
Practice Address - State:NC
Practice Address - Zip Code:27597-2605
Practice Address - Country:US
Practice Address - Phone:919-269-7481
Practice Address - Fax:919-269-9998
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18066183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC18066OtherNC BOARD OF PHARMACY