Individual
DONNA JEAN OXENDINE-DIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
307 E WARDELL DR, PEMBROKE, NC 28372
(910) 668-1172
(910) 521-2878
Mailing address
307 E WARDELL DR STE PHARMACY, PEMBROKE, NC 28372-7998
(910) 668-1172
(910) 521-2878
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11012
NC
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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