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Individual

JESSICA KIMBLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1001 KEITH HILLS RD, LILLINGTON, NC 27546-8261
(919) 776-9399
(919) 777-7238
Mailing address
1001 KEITH HILLS RD, LILLINGTON, NC 27546-8261
(919) 776-9399
(919) 777-7238

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18953
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18953
PHARMACIST
NC
Enumeration date
03/03/2016
Last updated
03/03/2016
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