Individual
ALLA A DIBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S
Contact information
Practice address
3186 PETERS CREEK PKWY, WINSTON SALEM, NC 27127-4755
(336) 788-1813
Mailing address
5659 PHILLIPS BRIDGE RD, WINSTON SALEM, NC 27104-3320
(336) 245-8995
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
NC16809
NC
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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