Individual
ALYSSA MASSENGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 N BICKETT BLVD, LOUISBURG, NC 27549-2402
(919) 496-6111
Mailing address
4512 MIDDLETOWN DR, WAKE FOREST, NC 27587-4189
(252) 432-2470
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28869
NC
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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