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Organization
WAL MART
Active
Organization
WAL MART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CONSTANTINE MICHAEL MAKHULI PHARM.D. (PHARMACIST)
(919) 852-0749
Entity
Organization
Contact information
Practice address
2010 KILDAIRE FARM RD, CARY, NC 27518-6614
(919) 852-0749
Mailing address
2010 KILDAIRE FARM RD, CARY, NC 27518-6614
(919) 852-0749
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16572
NC
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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