Individual
GARY BRIAN SUTHERBY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1122 RANDOLPH ST, THOMASVILLE, NC 27360-5175
(336) 476-8190
Mailing address
1122 RANDOLPH ST, THOMASVILLE, NC 27360
(336) 476-8190
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16094
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0295872
—
NC
Enumeration date
11/19/2011
Last updated
11/19/2011
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