Individual
DESIREE GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
270 COPPERFIELD BLVD NE, CONCORD, NC 28025-2441
(704) 784-9613
Mailing address
8416 PINSTRIPE LN, CHARLOTTE, NC 28227-8717
(704) 221-8706
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25332
NC
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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