Individual
DR. JESSICA VICTORIA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, CSPI
Contact information
Practice address
601 E 5TH ST STE 140, CHARLOTTE, NC 28202-3092
(704) 248-3712
Mailing address
9503 INVERNESS BAY RD, CHARLOTTE, NC 28278-6726
(305) 431-3664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27460
NC
183500000X
Pharmacist
PS53914
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27460
PHARMACIST LICENSE
NC
01
—
PS53914
PHARMACIST LICENSE
FL
Enumeration date
07/08/2013
Last updated
12/01/2023
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