Individual
DAVID WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
58 PHYSICIANS DR NW STE 5, SUPPLY, NC 28462-4215
(910) 754-7200
(910) 754-7555
Mailing address
PO BOX 769, SUPPLY, NC 28462-0769
(910) 754-7200
(910) 754-7555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
09765
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105470
—
NC
01
—
3405669
NCPDP
—
Enumeration date
10/06/2014
Last updated
10/06/2014
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