Individual
BENJAMIN GWATHMEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5706 WYALONG DR, CHARLOTTE, NC 28227-7843
(704) 545-4106
(704) 545-9526
Mailing address
5706 WYALONG DR, CHARLOTTE, NC 28227-7843
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24152
NC
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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