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Individual

SUSIE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPHT

Contact information

Practice address
4428 TAGGART CREEK RD STE 101, CHARLOTTE, NC 28208-5400
(704) 350-3584
Mailing address
7250 PRICE PT, DENVER, NC 28037-8019
(704) 664-0458

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
00357
NC

Other

Enumeration date
02/09/2021
Last updated
02/09/2021
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