Provider Demographics
NPI:1124431648
Name:REED, CARRIE HYLTON (PHARMD)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:HYLTON
Last Name:REED
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:LEANN
Other - Last Name:HYLTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1593 NC HIGHWAY 86 N
Mailing Address - Street 2:
Mailing Address - City:YANCEYVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27379-8650
Mailing Address - Country:US
Mailing Address - Phone:336-694-1627
Mailing Address - Fax:336-694-1226
Practice Address - Street 1:1593 NC HIGHWAY 86 N
Practice Address - Street 2:
Practice Address - City:YANCEYVILLE
Practice Address - State:NC
Practice Address - Zip Code:27379-8650
Practice Address - Country:US
Practice Address - Phone:336-694-1627
Practice Address - Fax:336-694-1226
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21975183500000X
VA0202211031183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist