Individual
CHANDLER COTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
300 E CORNWALLIS DR, GREENSBORO, NC 27408
(336) 275-9471
Mailing address
3609 NORTH ELM STREET APT 1D, GREENSBORO, NC 27455
(803) 509-3963
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29043
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424081
—
NC
Enumeration date
10/15/2019
Last updated
10/15/2019
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