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Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1601 OLD GREENSBORO RD, KERNERSVILLE, NC 27284-6855
(336) 791-4995
(855) 270-7347
Mailing address
116 CLAYTON DR, MOCKSVILLE, NC 27028-6142
(336) 399-7895

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10284
NC

Other

Enumeration date
09/13/2022
Last updated
09/13/2022
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