Individual
ALICIA INSORN BACCAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 CRESTDALE RD, MATTHEWS, NC 28105-1744
(704) 844-3100
Mailing address
9 PARK VILLAGE CT, GREENSBORO, NC 27455-2476
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
25574
IA
183500000X
Pharmacist
Primary
34576
NC
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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