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Individual

DAVID MINTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
590 E JACKSON BLVD, ERWIN, NC 28339-9629
(910) 892-1011
(910) 892-3074
Mailing address
590 E JACKSON BLVD, ERWIN, NC 28339-9629
(910) 892-1011
(910) 892-3074

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8454
NC

Other

Enumeration date
01/19/2017
Last updated
01/19/2017
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