Individual
MISS ELAINE CAROL NYSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3573 HILLSBOROUGH ROAD, DURHAM, NC 27705-2916
(919) 383-0171
(919) 384-9641
Mailing address
3573 HILLSBOROUGH ROAD, DURHAM, NC 27705-2916
(919) 383-0171
(919) 384-9641
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14267
NC
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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