Individual
MRS. AMY SODERSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4101 W VERNON AVE, KINSTON, NC 28504-9672
(252) 527-8400
Mailing address
200 PINEVIEW DR, GREENVILLE, NC 27834-6434
(252) 916-1426
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16310
NC
Other
Enumeration date
05/29/2014
Last updated
11/05/2020
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