Individual
CHANEL CHARLES-MWANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
1550 SKIBO RD, FAYETTEVILLE, NC 28303-3478
(910) 868-5242
Mailing address
1469 DRAW BRIDGE LN, FAYETTEVILLE, NC 28312-7698
(919) 381-0962
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
31753
NC
Other
Enumeration date
10/12/2022
Last updated
04/12/2025
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