Individual
JESSICA MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 COUNTRY CLUB DR, FAYETTEVILLE, NC 28301-7603
(910) 488-1033
Mailing address
8401 FAYETTEVILLE RD, RALEIGH, NC 27603-5641
(704) 906-5731
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19982
NC
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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