Individual
MR. DAVID THOMAS JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8109 N CREEK RUN, RALEIGH, NC 27613-4351
(919) 676-7176
Mailing address
3914 CAPITAL BLVD, RALEIGH, NC 27604-3412
(919) 876-5600
(919) 876-2475
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7602
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0926428
—
NC
Enumeration date
09/22/2010
Last updated
09/22/2010
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