Provider Demographics
NPI:1528673712
Name:PEARSON, TERRANCE ALLEN (PHARMD)
Entity type:Individual
Prefix:
First Name:TERRANCE
Middle Name:ALLEN
Last Name:PEARSON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 LAUREL BLUFF CIR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-9397
Mailing Address - Country:US
Mailing Address - Phone:910-382-4128
Mailing Address - Fax:
Practice Address - Street 1:121 W ELMSLEY ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-8276
Practice Address - Country:US
Practice Address - Phone:336-370-0353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29917183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist