Individual
MS. JACQUELINE SUSANNE HURLBUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH.
Contact information
Practice address
3633 CLEMMONS RD, CLEMMONS, NC 27012-8725
(335) 293-1395
(336) 293-1394
Mailing address
3633 CLEMMONS RD, CLEMMONS, NC 27012-8725
(336) 293-1395
(336) 293-1394
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13059
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154616308
NPPES
—
01
—
13059
NC BOARD OF PHARMACY LICENSE NUMBER
NC
Enumeration date
06/16/2011
Last updated
11/26/2024
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