Provider Demographics
NPI:1346343613
Name:COKER, HUYLA G (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HUYLA
Middle Name:G
Last Name:COKER
Suffix:
Gender:F
Credentials:PHARMD
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Mailing Address - Street 1:105 RUN SWAMP RD
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27921-7626
Mailing Address - Country:US
Mailing Address - Phone:252-335-0531
Mailing Address - Fax:252-384-4179
Practice Address - Street 1:1144 N ROAD ST
Practice Address - Street 2:POST OFFICE BOX 1587
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-3473
Practice Address - Country:US
Practice Address - Phone:252-335-0531
Practice Address - Fax:252-384-4179
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC125901835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy