Individual
MAIA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
816 EDINBOROUGH DR APT 816, DURHAM, NC 27703-8497
(919) 717-6836
Mailing address
800 EDINBOROUGH DR., APT. 816, DURHAM, NC 27703
(919) 717-6836
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30037014
NC
333600000X
Pharmacy
30037014
NC
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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