Individual
AUSTIN NEWSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
204 INGRAM DR, KING, NC 27021-8206
(336) 296-6038
Mailing address
204 INGRAM DR, KING, NC 27021-8206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30683
NC
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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