Provider Demographics
NPI:1962959759
Name:HWANG, HEATHER MARIE (PHARMD)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:MARIE
Last Name:HWANG
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 1:805 TOWN CENTRE BLVD
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-2179
Mailing Address - Country:US
Mailing Address - Phone:919-550-7377
Mailing Address - Fax:
Practice Address - Street 1:805 TOWN CENTRE BLVD
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-2179
Practice Address - Country:US
Practice Address - Phone:919-550-7377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-08
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26496183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist