Individual
MRS. EILEEN MCMAHON GUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
221 N GRAHAM HOPEDALE RD, BURLINGTON, NC 27217-2971
(336) 532-0414
(336) 570-3752
Mailing address
3 WYNDHAM PL, DURHAM, NC 27705-6440
(919) 382-2910
(336) 570-3752
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12884
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12884
NC BOP LICENSE NUMBER
NC
Enumeration date
03/28/2007
Last updated
07/08/2007
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