Individual
MRS. JACLYN JANINE DACIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
123 WEISS WAY, WAXHAW, NC 28173-6546
(704) 641-0079
Mailing address
8511 CHILCOMB CT, WAXHAW, NC 28173-6546
(704) 641-0079
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11881
NC
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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