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Individual

CARISA NICHOLE PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
801 S 13TH ST, ERWIN, NC 28339-2635
(910) 897-4141
(910) 897-2240
Mailing address
801 S 13TH ST, ERWIN, NC 28339-2635
(910) 897-4141
(910) 897-2240

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20664
NC

Other

Enumeration date
03/30/2011
Last updated
05/13/2019
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