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Individual

BARRY WILLIAM SOUTHERN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
422 GALLIMORE DAIRY RD, SUITE A, GREENSBORO, NC 27409-9725
(336) 393-0555
(901) 435-4592
Mailing address
3705 MIDDLEBURY WAY, GREENSBORO, NC 27410-8688
(336) 288-0025

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
08156
NC
183500000X
Pharmacist
13022
TN

Other

Enumeration date
02/03/2010
Last updated
02/03/2010
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