Individual
JONATHAN ANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1235 PECAN AVE, CHARLOTTE, NC 28205-5037
(704) 342-0584
Mailing address
11017 FRONT PORCH AVE APT 2708, CHARLOTTE, NC 28227-8352
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
31811
NC
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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