Individual
GARY JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4553 MAIN ST, SHALLOTTE, NC 28470-4447
(910) 754-9351
Mailing address
4553 MAIN ST, SHALLOTTE, NC 28470-4447
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8431
NC
Other
Enumeration date
07/04/2011
Last updated
07/04/2011
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