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Individual
LEROY VANVELD
Active
Individual
LEROY VANVELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20699
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048AK
BCBSNC GROUP PROVIDER NUMBER
NC
Enumeration date
11/09/2009
Last updated
11/09/2009
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