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Individual

JAMES ALDEN HATHCOCK JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
1209 N BRIDGE ST, ELKIN, NC 28621-2301
(336) 526-0011
(336) 526-6005
Mailing address
1209 N BRIDGE ST, ELKIN, NC 28621-2301
(336) 526-0011
(336) 526-6005

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202006239
VA
183500000X
Pharmacist
04523
NC

Other

Enumeration date
11/25/2009
Last updated
11/25/2009
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