Basic Information
| Provider Information | |||||||||
| NPI: | 1194947416 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BERNSTEIN | ||||||||
| FirstName: | DEBRA | ||||||||
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| Credential: | PHARMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1001 CAMDEN LN | ||||||||
| Address2: | |||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275167757 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199681167 | ||||||||
| FaxNumber: | 3365703752 | ||||||||
| Practice Location | |||||||||
| Address1: | 7228 PITTSBORO-MONCURE ROAD | ||||||||
| Address2: | |||||||||
| City: | MONCURE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 27559 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9195424991 | ||||||||
| FaxNumber: | 9195423726 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/03/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 15754 | NC | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.