Individual
WILLIE H. JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH., FASCP
Contact information
Practice address
138 MAPLE AVE, BURLINGTON, NC 27215-5847
(336) 226-1663
Mailing address
4364 SARTIN RD, BURLINGTON, NC 27217-7522
(336) 228-3445
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
4449
NC
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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