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Individual

BARBARA VICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2726 CROASDAILE DR, SUITE 104, DURHAM, NC 27705-2578
(919) 357-4904
Mailing address
2726 CROASDAILE DR, SUITE 104, DURHAM, NC 27705-2578
(919) 357-4904

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22598
NC
1835P1200X
Pharmacotherapy Pharmacist
22598
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22598
PHARMACIST
NC
Enumeration date
09/26/2014
Last updated
09/26/2014
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