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Organization

ANNOTATA, LLC

Active
Other names
Annotata Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
LISA BOETTNER (VICE PRESIDENT)
(301) 351-9599
Entity
Organization

Contact information

Practice address
6300 E INDEPENDENCE BLVD, SUITE B, CHARLOTTE, NC 28212-6944
(980) 430-1782
(980) 498-0690
Mailing address
6300 E INDEPENDENCE BLVD, SUITE B, CHARLOTTE, NC 28212-6944
(980) 430-1782
(980) 498-0690

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12949
NC

Other

Enumeration date
05/09/2016
Last updated
05/09/2016
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