Individual
MR. GARY DEAN CORNWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
609 NORTH OAK STREET, LINCOLNTON, NC 28092
(704) 732-1740
(704) 732-1740
Mailing address
609 N OAK ST, LINCOLNTON, NC 28092-2937
(704) 732-1740
(704) 732-1740
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5617
NC
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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