Individual
HANNAH BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 W MAIN ST, JAMESTOWN, NC 27282-9558
(336) 454-3101
Mailing address
407 WEST MAIN STREET, JAMESTOWN, NC 27282
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21817
NC
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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