Individual
ANNA MICHELLE LICARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1433 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 27012-9713
(336) 712-0663
(336) 712-8290
Mailing address
1433 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 27012-9713
(336) 712-0663
(336) 712-8290
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21349
NC
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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