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Individual

MR. JON TAYLOR SCARBOROUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
6805 PARKER FARM DR, WILMINGTON, NC 28405-3168
(910) 256-4159
Mailing address
557 GARDEN TERRACE DR, UNIT 304, WILMINGTON, NC 28405-4083
(910) 795-5363

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16272
NC

Other

Enumeration date
05/14/2011
Last updated
05/14/2011
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