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Individual

EDWARD PLUGOVOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2325 VILLAGE LAKE DR, CHARLOTTE, NC 28212-0081
(704) 536-3663
Mailing address
10606 WILLIAMS RD, MINT HILL, NC 28227-9006
(704) 756-1699

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27427
NC

Other

Enumeration date
09/14/2017
Last updated
09/14/2017
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