Individual
JEFFREY DWAYNE WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
552 FORK RD, NORWOOD, NC 28128-8445
(704) 474-4035
(704) 474-3551
Mailing address
552 FORK RD, NORWOOD, NC 28128-8445
(704) 474-4035
(704) 474-3551
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10168
NC
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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