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Individual

DR. ERIC DAVID MONTIJO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
95 SPRINBGROOK AVE, STE 101, CLAYTON, NC 27520-5308
(919) 553-6224
(919) 553-7805
Mailing address
95 SPRINBGROOK AVE, STE 101, CLAYTON, NC 27520-5308
(919) 553-6224
(919) 553-7805

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18963
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1417282815
BLUE CROSS BLUE SHIELD OF NORTH CAROLINA
NC
Enumeration date
10/02/2009
Last updated
06/14/2016
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