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Individual

MR. GARY LYNN JUDD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.S.PHARM

Contact information

Practice address
4215 PROVIDENCE RD, CHARLOTTE, NC 28211-4409
(704) 836-6389
(704) 366-9560
Mailing address
4215 PROVIDENCE RD, CHARLOTTE, NC 28211-4409
(704) 836-6389
(704) 366-9560

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
09874
NC

Other

Enumeration date
05/15/2009
Last updated
05/15/2009
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