Individual
DR. JEANELLE PENAFLOR-DERRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3069 RICHLANDS HWY, JACKSONVILLE, NC 28540-2976
(910) 219-0490
Mailing address
3069 RICHLANDS HWY, JACKSONVILLE, NC 28540-2976
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21479
NC
Other
Enumeration date
12/12/2010
Last updated
12/12/2010
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