Individual
DR. CARL ANTOLICK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5111 WAKE FOREST RD, DURHAM, NC 27703-3704
(919) 957-4512
(919) 957-4538
Mailing address
5111 WAKE FOREST RD, DURHAM, NC 27703-3704
(919) 957-4512
(919) 957-4538
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19794
NC
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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