Individual
MRS. DANA BLACKMON PHIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
119 OLD FALLSTON RD, CHERRYVILLE, NC 28021-9556
(704) 689-7563
Mailing address
119 OLD FALLSTON RD, CHERRYVILLE, NC 28021-9556
(704) 689-7563
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30060961
NC
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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