Individual
CAREL LEROUX VAN DYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
111 ALAMEDA CIR, MOORESVILLE, NC 28117-4363
(704) 660-2281
Mailing address
111 ALAMEDA CIR, MOORESVILLE, NC 28117-4363
(704) 660-2281
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15476
NC
Other
Enumeration date
04/18/2010
Last updated
04/18/2010
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