Provider Demographics
NPI:1871586339
Name:HURST, DARLENE (RPH)
Entity type:Individual
Prefix:MS
First Name:DARLENE
Middle Name:
Last Name:HURST
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4143 DIVOT WAY
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-8190
Mailing Address - Country:US
Mailing Address - Phone:678-472-6074
Mailing Address - Fax:404-778-4571
Practice Address - Street 1:1365-C CLIFTON RD NE
Practice Address - Street 2:WINSHIP INFUSION PHARMACY
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1013
Practice Address - Country:US
Practice Address - Phone:404-778-4562
Practice Address - Fax:404-778-4571
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31899183500000X
GA20170183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist