Individual
JEFFREY BERISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1433 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 27012-9713
(336) 712-0663
Mailing address
1433 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 27012-9713
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27552
NC
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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