Provider Demographics
NPI:1902813405
Name:PROCTOR, RITA KAY (RPH, CPP)
Entity Type:Individual
Prefix:MS
First Name:RITA
Middle Name:KAY
Last Name:PROCTOR
Suffix:
Gender:F
Credentials:RPH, CPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 QUINN CT
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-9478
Mailing Address - Country:US
Mailing Address - Phone:919-966-6556
Mailing Address - Fax:919-966-6431
Practice Address - Street 1:CAMPUS HEALTH SERVICES UNC CHAPEL HL
Practice Address - Street 2:CB #7470
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7470
Practice Address - Country:US
Practice Address - Phone:919-966-6556
Practice Address - Fax:919-966-6431
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5951183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist