Individual
MR. ANDRIES STEFANUS NAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
419 W BROAD ST, SAINT PAULS, NC 28384-1537
(910) 865-1242
Mailing address
1124 E 10TH STREET, ROANOKE RAPIDS, NC 27870
(252) 537-3230
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
013772
KY
183500000X
Pharmacist
Primary
20660
NC
Other
Enumeration date
05/06/2009
Last updated
10/20/2019
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