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Individual

WILLIAM RANDOLPH MIZE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
3712 LAWNDALE DR STE G, GREENSBORO, NC 27455-3066
(336) 790-7343
Mailing address
3712 LAWNDALE DR STE G, GREENSBORO, NC 27455-3066
(336) 790-7343

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
08455
NC

Other

Enumeration date
03/02/2021
Last updated
03/02/2021
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