Individual
MR. FRED ALLEN CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
425 W STATE ST, BLACK MOUNTAIN, NC 28711-3344
(828) 669-2992
(828) 669-2540
Mailing address
425 W STATE ST, BLACK MOUNTAIN, NC 28711-3344
(828) 669-2992
(828) 669-2540
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4958
NC
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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