Individual
DESTINY SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
Mailing address
7602 WOODS LN UNIT 22, CORNELIUS, NC 28031-8780
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
34802
NC
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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