Individual
MISS COURTNEY LEIGHANN HAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
715 BLAWELL ST, STEDMAN, NC 28391-9731
(910) 584-1191
Mailing address
715 BLAWELL ST, STEDMAN, NC 28391-9731
(910) 584-1191
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30007697
NC
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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