Individual
DAVID TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1950 S HAWTHORNE RD, WINSTON SALEM, NC 27103-3912
(336) 718-0785
Mailing address
1950 S HAWTHORNE RD, WINSTON SALEM, NC 27103-3912
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
28721
NC
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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