Provider Demographics
NPI:1558197970
Name:HUNTER, PEARL VIRGINIA
Entity type:Individual
Prefix:
First Name:PEARL
Middle Name:VIRGINIA
Last Name:HUNTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CAMPUS CT
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:17345-1526
Mailing Address - Country:US
Mailing Address - Phone:717-758-0960
Mailing Address - Fax:
Practice Address - Street 1:3180 CARLISLE RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:PA
Practice Address - Zip Code:17315-4512
Practice Address - Country:US
Practice Address - Phone:717-767-5322
Practice Address - Fax:717-767-5592
Is Sole Proprietor?:No
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA30229591183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician