Individual
MRS. JODIE ANN LUMBRAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
70 CRAPE MYRTLE DR STE 103, BENSON, NC 27504-8034
(919) 938-3800
(919) 938-3801
Mailing address
70 CRAPE MYRTLE DR STE 103, BENSON, NC 27504-8034
(919) 938-3800
(919) 938-3801
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13470
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0435478
—
NC
Enumeration date
09/08/2008
Last updated
09/08/2008
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