Individual
DR. AUDREY ANN REIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1001 BLYTHE BLVD, SUITE 201, CHARLOTTE, NC 28203-5874
(704) 355-6901
(704) 355-6903
Mailing address
3639 HAMILTON RD, EDGEMOOR, SC 29712-5709
(803) 789-7313
(704) 355-6903
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
011126
SC
183500000X
Pharmacist
Primary
17590
NC
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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