Individual
AMY HALLISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1046 E WENDOVER AVE, GREENSBORO, NC 27405-6712
(336) 272-1050
(336) 275-1033
Mailing address
1906 NORTHBAY DR, BROWNS SUMMIT, NC 27214-9682
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11590
NC
Other
Enumeration date
06/01/2011
Last updated
12/03/2012
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