Individual
CAITLYN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1142 N BROOME ST, WAXHAW, NC 28173-9378
(704) 843-4680
Mailing address
1509 MAINLINE BLVD APT 6202, CHARLOTTE, NC 28203-0519
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24200
NC
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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