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Individual

DIANE M SCHALLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4307 WILGROVE MINT HILL RD, MINT HILL, NC 28227-3400
(704) 545-3420
Mailing address
10551 PACES AVE APT 521, MATTHEWS, NC 28105-2713
(704) 771-2378

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20944
NC

Other

Enumeration date
11/23/2010
Last updated
11/23/2010
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