Individual
JOHN TREADAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1315 CREEKSHIRE WAY APT 337, WINSTON SALEM, NC 27103-4046
(336) 971-9005
Mailing address
1315 CREEKSHIRE WAY APT 337, WINSTON SALEM, NC 27103-4046
(336) 971-9005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30635
NC
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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