Individual
JESSICA SUBROTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2019 N MAIN ST, HIGH POINT, NC 27262-2133
(336) 885-7766
(336) 885-7787
Mailing address
122 RIVERVIEW TOWNHOUSE DR, ADVANCE, NC 27006-7651
(336) 588-3927
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30912
NC
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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