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Individual

CASSANDRA WIDENER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
1624 NC HIGHWAY 14, REIDSVILLE, NC 27320-9666
(336) 349-2325
(336) 349-2418
Mailing address
1624 NC HIGHWAY 14, REIDSVILLE, NC 27320-9666
(336) 349-2325
(336) 349-2418

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202212625
VA
183500000X
Pharmacist
Primary
23397
NC

Other

Enumeration date
05/17/2014
Last updated
05/17/2014
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