Individual
HYACINTH GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
627 CHERRY PLUM CT, FUQUAY VARINA, NC 27526-2568
(919) 557-3625
Mailing address
627 CHERRY PLUM CT, FUQUAY VARINA, NC 27526-2568
(919) 557-3625
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20268
NC
183500000X
Pharmacist
PS22654
FL
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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