Individual
KARISSA STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9841 NORTHLAKE CENTRE PKWY, CHARLOTTE, NC 28216-8930
(704) 526-3649
Mailing address
2921 HOSTA DR, CHARLOTTE, NC 28269-3063
(704) 433-8651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30095
NC
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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