Individual
MR. HARRY LEE BROGDEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4446 US HIGHWAY 220 N STE C, SUMMERFIELD, NC 27358-9415
(336) 644-7058
(336) 644-7297
Mailing address
4446 US HIGHWAY 220 N STE C, SUMMERFIELD, NC 27358-9415
(336) 644-7058
(336) 644-7297
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10438
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0418181
—
NC
Enumeration date
05/21/2009
Last updated
05/21/2009
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