Provider Demographics
NPI:1902235161
Name:PRINGLE, PRECIOUS MICEALA (PHARMD)
Entity Type:Individual
Prefix:
First Name:PRECIOUS
Middle Name:MICEALA
Last Name:PRINGLE
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 1:3400 WYLIE MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-7714
Mailing Address - Country:US
Mailing Address - Phone:803-983-2754
Mailing Address - Fax:
Practice Address - Street 1:3010 MONROE RD STE 101
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-7533
Practice Address - Country:US
Practice Address - Phone:704-496-9182
Practice Address - Fax:704-496-9903
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC14354183500000X
NC25643183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist