Individual
JESSICA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
903 E 4TH AVE, RED SPRINGS, NC 28377-1641
(910) 843-3459
Mailing address
903 E 4TH AVE, RED SPRINGS, NC 28377-1641
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25351
NC
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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