Individual
MS. BRENDA HALL FONVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1431 RAMSEY ST, FAYETTEVILLE, NC 28301-4405
(910) 486-5936
(910) 486-9227
Mailing address
404 BAYBERRY CT, FAYETTEVILLE, NC 28314-1001
(910) 867-3557
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7986
NC
Other
Enumeration date
02/24/2007
Last updated
07/08/2007
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