Individual
HOLLY BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13304 LEESVILLE CHURCH RD, RALEIGH, NC 27617-5206
(919) 845-5276
Mailing address
13304 LEESVILLE CHURCH RD, RALEIGH, NC 27617-5206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24429
NC
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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