Provider Demographics
NPI:1144640392
Name:HUMBLE, DANA (RPH)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:HUMBLE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:
Other - Last Name:FRYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:720 E US HIGHWAY 74
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-7206
Mailing Address - Country:US
Mailing Address - Phone:910-582-3565
Mailing Address - Fax:910-582-3574
Practice Address - Street 1:720 E US HIGHWAY 74
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-7206
Practice Address - Country:US
Practice Address - Phone:910-582-3565
Practice Address - Fax:910-582-3574
Is Sole Proprietor?:No
Enumeration Date:2014-04-25
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9065183500000X
NC26433183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist