Individual
HOLLY LAROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
505 W VERNON AVE STE 100, KINSTON, NC 28501-3767
(252) 522-0353
Mailing address
505 W VERNON AVE STE 100, KINSTON, NC 28501-3767
(252) 522-0353
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9757
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548229933
NPI
—
05
—
3420635
—
NC
Enumeration date
02/08/2019
Last updated
02/08/2019
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