Individual
SHIRLEY EMANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
4547 GREENMANOR DR, WINSTON SALEM, NC 27106-9684
(336) 624-2164
Mailing address
4547 GREENMANOR DR, WINSTON SALEM, NC 27106-9684
(336) 624-2164
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
19468
NC
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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