Individual
GREGORY BODENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5322 US HIGHWAY 158, ADVANCE, NC 27006-6907
(336) 940-5515
Mailing address
1440 NOAHTOWN RD, THOMASVILLE, NC 27360-0716
(336) 442-3726
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28111
NC
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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