Provider Demographics
NPI:1730357971
Name:PERRY, DENISE MASSEY (RPH, MS)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:MASSEY
Last Name:PERRY
Suffix:
Gender:F
Credentials:RPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2009 PEARCES RD
Mailing Address - Street 2:
Mailing Address - City:ZEBULON
Mailing Address - State:NC
Mailing Address - Zip Code:27597-7834
Mailing Address - Country:US
Mailing Address - Phone:919-795-1678
Mailing Address - Fax:919-404-3605
Practice Address - Street 1:2009 PEARCES RD
Practice Address - Street 2:
Practice Address - City:ZEBULON
Practice Address - State:NC
Practice Address - Zip Code:27597-7834
Practice Address - Country:US
Practice Address - Phone:919-795-1678
Practice Address - Fax:919-404-3605
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8761183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist