Individual
ANANYA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3440 WILKINSON BLVD, CHARLOTTE, NC 28208-5634
(704) 395-3671
Mailing address
8115 ORWIN MANOR LN APT 203, CHARLOTTE, NC 28216-9008
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24645
NC
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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