Individual
DUSTIN THOMAS ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
430 WESTERN AVE, STATESVILLE, NC 28677-5730
(704) 873-7612
(704) 872-8037
Mailing address
116 ENDICOTT CT, MOORESVILLE, NC 28115-5225
(828) 964-6918
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29089
NC
Other
Enumeration date
09/25/2019
Last updated
05/19/2023
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