Provider Demographics
NPI:1588943872
Name:FERGUSON-MCHONE, EDIE B (PHARMD)
Entity type:Individual
Prefix:DR
First Name:EDIE
Middle Name:B
Last Name:FERGUSON-MCHONE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 LAWNDALE DR
Mailing Address - Street 2:TARGET PHARMACY T-1180
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-4820
Mailing Address - Country:US
Mailing Address - Phone:336-286-1273
Mailing Address - Fax:336-286-1273
Practice Address - Street 1:2701 LAWNDALE DR
Practice Address - Street 2:TARGET PHARMACY T-1180
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-4820
Practice Address - Country:US
Practice Address - Phone:336-286-1273
Practice Address - Fax:336-286-1273
Is Sole Proprietor?:No
Enumeration Date:2011-08-04
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20484183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist