Provider Demographics
NPI:1194074963
Name:WILLEY, CLAIRE (PHARMD)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:WILLEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:
Other - Last Name:DARDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:205 ROUNDHOUSE LN
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-6139
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1219 BUCK JONES RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-3326
Practice Address - Country:US
Practice Address - Phone:919-467-6364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2013-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22503183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist