Individual
JENNY EDGELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3590 SUNSET AVE, ROCKY MOUNT, NC 27804-3408
(252) 443-5101
Mailing address
2904 HENSLOWE DR, RALEIGH, NC 27603-2686
(540) 808-7176
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21337
NC
Other
Enumeration date
12/12/2010
Last updated
12/12/2010
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