Individual
GLEN MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
522 OWEN DR, FAYETTEVILLE, NC 28304-3432
(910) 484-7183
Mailing address
522 OWEN DR, FAYETTEVILLE, NC 28304-3432
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19109
NC
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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