Individual
MS. ELIZABETH TAYLOR SERGOMASSOV
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 470-4168
Mailing address
109 RYANS RUN, YOUNGSVILLE, NC 27596-9655
(919) 554-6912
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5040
NC
Other
Enumeration date
03/05/2006
Last updated
07/08/2007
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