Individual
MR. DWIGHT ANTHONY MEDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST RPH
Contact information
Practice address
714 NEW BRIDGE ST, JACKSONVILLE, NC 28540
(910) 347-5185
(910) 347-9298
Mailing address
182 LEAS LANE, HAMPSTEAD, NC 28443
(910) 270-3512
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13318
NC
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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