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Individual

BURGUNDY ROSTCHILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
320 E HANES MILL RD, WINSTON SALEM, NC 27105-9135
(336) 377-2327
Mailing address
105 VILLAGE LN APT E, GREENSBORO, NC 27409-1928
(412) 475-3958

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
291703
TX
183700000X
Pharmacy Technician
Primary
63836
NC

Other

Enumeration date
02/11/2021
Last updated
10/13/2024
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