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Individual

CYNTHIA KAY NILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
4401 US HWY 25-70, MARSHALL, NC 28753
(828) 649-1632
(828) 649-1613
Mailing address
PO BOX 577, MARSHALL, NC 28753-0577
(828) 649-1236
(828) 649-1613

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
07880
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07880
NC PHARMACY LICENSE
NC
Enumeration date
05/14/2007
Last updated
09/19/2012
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