Individual
EMILY ROSE KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
115 W MAIN ST, BEULAVILLE, NC 28518
(102) 989-1729
(910) 298-9950
Mailing address
115 W MAIN ST, BEULAVILLE, NC 28518-8803
(910) 298-9172
(910) 298-9950
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
27280
NC
183500000X
Pharmacist
Primary
72780
NC
Other
Enumeration date
08/03/2017
Last updated
10/05/2019
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