Individual
ELISA SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3541 RANDOLPH RD, CHARLOTTE, NC 28211-1082
(704) 365-0707
Mailing address
1168 WAGNER AVE, FORT MILL, SC 29715-7840
(954) 952-2722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26643
NC
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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