Individual
DR. AMBERLY ROSA WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
841 S MAIN ST, GRAHAM, NC 27253-3763
(336) 228-6667
Mailing address
841 S MAIN ST, GRAHAM, NC 27253-3763
(336) 228-6667
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17728
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015938
—
NC
Enumeration date
08/07/2009
Last updated
08/07/2009
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