Individual
JENNIFER FUNKHOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6750 WILKINSON BLVD, BELMONT, NC 28012-6202
(704) 825-6929
Mailing address
6750 WILKINSON BLVD, BELMONT, NC 28012-6202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23218
NC
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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