Individual
HEATHER MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
495 VALLEY RD, MOCKSVILLE, NC 27028-2074
(336) 751-2141
Mailing address
495 VALLEY RD, MOCKSVILLE, NC 27028-2074
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18962
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0305086
—
NC
Enumeration date
04/01/2015
Last updated
04/01/2015
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