Individual
JEANETTE SHOTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
317 S MAIN ST, GRAHAM, NC 27253-3319
(336) 222-6862
Mailing address
317 S MAIN ST, GRAHAM, NC 27253-3319
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17620
NC
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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