Individual
KACEY MCHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 N MAIN ST, CREEDMOOR, NC 27522-9719
(919) 528-4709
Mailing address
1340 SILVER SAGE DR APT 304, RALEIGH, NC 27606-3979
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28956
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28956
PHARMACY LICENSE
NC
Enumeration date
09/02/2019
Last updated
09/02/2019
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