Individual
JACOB DALE MAREADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
701 DOCTORS DR STE P, KINSTON, NC 28501-1584
(252) 523-3187
(252) 522-2988
Mailing address
701 DOCTORS DR STE P, KINSTON, NC 28501-1584
(252) 523-3187
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26085
NC
Other
Enumeration date
11/07/2012
Last updated
10/12/2018
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